Park Pharmacy Inc

LBN: Park Pharmacy Inc
Park Pharmacy Inc is an health care organization with primary practice located at 138 2Nd Ave N , Park Falls WI 54552-1214. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Park Pharmacy Inc can be contacted via phone (715) 762-3248, or through Pechacek, Mark via phone (715) 762-3248.

Contact Information

Primary practice address
138 2Nd Ave N Park Falls WI 54552-1214
Phone: (715) 762-3248
Fax: (715) 762-2980
Website:
Map and Directions
Authorized official contact:
Name: Pechacek, Mark
Phone: (715) 762-3248

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 7644-042 Wisconsin
Suppliers / Long Term Care Pharmacy 3336L0003X 7643-042 Wisconsin

Profile Details

NPI number 1689677999
LBN Legal business name Park Pharmacy Inc
DBA Doing business as
Authorized official Pechacek, Mark
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2005
Last updated Sep 12th, 2017 - about 7 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 1689677999 NPPES
Wisconsin MEDICAID 33219200

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