Ford Pharmacy

LBN: Paper Valley Pharmacy Inc
Ford Pharmacy is an health care organization with primary practice located at 1440 Oneida St Ste A, Appleton WI 54915-7101. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Paper Valley Pharmacy Inc can be contacted via phone (920) 738-4105, or through Smith, William via phone (920) 738-4105.

Contact Information

Primary practice address
1440 Oneida St Ste A Appleton WI 54915-7101
Phone: (920) 738-4105
Fax: (920) 738-4100
Website:
Map and Directions
Authorized official contact:
Name: Smith, William RPH
Phone: (920) 738-4105

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 8575042 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1033120688
LBN Legal business name Paper Valley Pharmacy Inc
DBA Doing business as Ford Pharmacy
Authorized official Smith, William RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1033120688 NPPES
Other 5121188 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 33187200 OTHER ID NUMBER-COMMERCIAL NUMBER

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