O Connell Pharmacy Ltd

LBN: O Connell Pharmacy Ltd
O Connell Pharmacy Ltd is an health care organization with primary practice located at 302 S Grand Ave , Sun Prairie WI 53590. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. O Connell Pharmacy Ltd can be contacted via phone (608) 837-5949, or through O'Connell, Michelle via phone (608) 837-5949.

Contact Information

Primary practice address
302 S Grand Ave Sun Prairie WI 53590
Fax: (608) 825-3253
Website:
Authorized official contact:
Name: O'Connell, Michelle

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 6781-042 Wisconsin
Suppliers / Pharmacy 333600000X 8817042 Wisconsin
Suppliers / Pharmacy 333600000X DEA FO0684034
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1457319345
LBN Legal business name O Connell Pharmacy Ltd
DBA Doing business as
Authorized official O'Connell, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Sep 29th, 2023 - about last year

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 1457319345 NPPES
Other 5118220 NCPDP
MEDICAID 33065000 NCPDP

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