Mount Horeb Family Pharmacy

LBN: Mount Horeb Family Pharmacy Llc
Mount Horeb Family Pharmacy is an health care organization with primary practice located at 203 W Main St , Mount Horeb WI 53572-1914. 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. Mount Horeb Family Pharmacy Llc can be contacted via phone (608) 437-3001, or through Weiland, Jennifer via phone (608) 437-3001.

Contact Information

Primary practice address
203 W Main St Mount Horeb WI 53572-1914
Phone: (608) 437-3001
Fax: (608) 437-6480
Website:
Map and Directions
Authorized official contact:
Name: Weiland, Jennifer
Phone: (608) 437-3001

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 835442 Wisconsin
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1003914045
LBN Legal business name Mount Horeb Family Pharmacy Llc
DBA Doing business as Mount Horeb Family Pharmacy
Authorized official Weiland, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated May 5th, 2022 - about 2 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 1003914045 NPPES
Other 2112892 PK
Other K300846024 PK
MEDICAID 33271700 PK

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