Morton Pharmacy

LBN: Morton Drug Co Inc
Morton Pharmacy is an health care organization with primary practice located at 312 Racine St , Menasha WI 54952-2337. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Morton Drug Co Inc can be contacted via phone (920) 727-3846, or through Blank, Jeffrey via phone (920) 727-8882.

Contact Information

Primary practice address
312 Racine St Menasha WI 54952-2337
Phone: (920) 727-3846
Fax: (920) 727-3870
Website:
Map and Directions
Authorized official contact:
Name: Blank, Jeffrey
Phone: (920) 727-8882

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 8129 Wisconsin
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1275622953
LBN Legal business name Morton Drug Co Inc
DBA Doing business as Morton Pharmacy
Authorized official Blank, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Sep 8th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275622953 NPPES
Other 5107277 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 33177800 NCPDP PROVIDER IDENTIFICATION NUMBER

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