Morton Pharmacy

LBN: Morton Drug Co Inc
Morton Pharmacy is an health care organization with primary practice located at 200 E 2Nd St Suite A, Kaukauna WI 54130-2524. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Morton Drug Co Inc can be contacted via phone (920) 766-7100, or through Blank, Jeffrey via phone (920) 727-8882.

Contact Information

Primary practice address
200 E 2Nd St Suite A Kaukauna WI 54130-2524
Phone: (920) 766-7100
Fax: (920) 766-7109
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 9032-42 Wisconsin

Profile Details

NPI number 1295825313
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 13th, 2006
Last updated Sep 24th, 2010 - about 14 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 1295825313 NPPES
Other 5119943 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 33248500 NCPDP PROVIDER IDENTIFICATION NUMBER

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