Konsella Health Mart Pharmacy
LBN: Pharmacare Ltd
Konsella Health Mart Pharmacy is an health care organization with primary practice located at 212 Bay Street , Chippewa Falls WI 54729-2491. 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.
Pharmacare Ltd can be contacted via phone (715) 723-9177, or through Levin, Timothy E via phone (715) 833-6770.
Contact Information
Primary practice address
212 Bay Street
Chippewa Falls WI 54729-2491
Phone: (715) 723-9177
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
NPI number | 1902962889 |
---|---|
LBN Legal business name | Pharmacare Ltd |
DBA Doing business as | Konsella Health Mart Pharmacy |
Authorized official | Levin, Timothy E |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 28th, 2006 |
Last updated | Sep 26th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902962889 | NPPES |
Other | 5103356 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
MEDICAID | 36222000 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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