Prescription Center Pharmacy
LBN: Prescription Center Pharmacy
Prescription Center Pharmacy is an health care organization with primary practice located at 888 Thackeray Trl Ste 101, Oconomowoc WI 53066-4342. 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.
Prescription Center Pharmacy can be contacted via phone (262) 567-7267, or through Eichstaedt, David via phone (262) 567-7267.
Contact Information
Primary practice address
888 Thackeray Trl Ste 101
Oconomowoc WI 53066-4342
Phone: (262) 567-7267
Fax: (262) 567-7244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 789742 | Wisconsin |
Profile Details
| NPI number | 1477628055 |
|---|---|
| LBN Legal business name | Prescription Center Pharmacy |
| DBA Doing business as | Prescription Center Pharmacy |
| Authorized official | Eichstaedt, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Feb 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477628055 | NPPES |
| Other | 2113840 | PK | |
| MEDICAID | 33053200 | PK |
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