Reliable Pharmacy Of Wisconsin
LBN: Reliable Pharmacy Of Wisconsin Llc
Reliable Pharmacy Of Wisconsin is an health care organization with primary practice located at 10105 74Th St Ste 102 , Kenosha WI 53142-7519. 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.
Reliable Pharmacy Of Wisconsin Llc can be contacted via phone (262) 909-5685, or through Cernak, Cynthia via phone (262) 565-6353.
Contact Information
Primary practice address
10105 74Th St Ste 102
Kenosha WI 53142-7519
Phone: (262) 909-5685
Fax: (262) 925-8409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 9488-42 | Wisconsin |
Profile Details
| NPI number | 1336653674 |
|---|---|
| LBN Legal business name | Reliable Pharmacy Of Wisconsin Llc |
| DBA Doing business as | Reliable Pharmacy Of Wisconsin |
| Authorized official | Cernak, Cynthia |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 22nd, 2017 |
| Last updated | Jul 19th, 2018 - 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 | 1336653674 | NPPES |
| Other | 2172877 | PK | |
| MEDICAID | 100073905 | PK |
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