Nutritional Designs And Pharmacy Llc

LBN: Nutritional Designs Llc
Nutritional Designs And Pharmacy Llc is an health care organization with primary practice located at 5220 Washington Ave Ste 101 , Racine WI 53406-4228. 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. Nutritional Designs Llc can be contacted via phone (262) 632-6500, or through Muniz, Jody via phone (262) 632-6500.

Contact Information

Primary practice address
5220 Washington Ave Ste 101 Racine WI 53406-4228
Fax: (262) 632-6505
Website:
Authorized official contact:
Name: Muniz, Jody

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 9184-42 Wisconsin

Profile Details

NPI number 1912019837
LBN Legal business name Nutritional Designs Llc
DBA Doing business as Nutritional Designs And Pharmacy Llc
Authorized official Muniz, Jody
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 14th, 2016 - about 9 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 1912019837 NPPES
Wisconsin MEDICAID 33281600
Wisconsin Other 2110287

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