Sister Bay Pharmacy

LBN: Sister Bay Pharmacy
Sister Bay Pharmacy is an health care organization with primary practice located at 326 Country Walk Ln 6A, Sister Bay WI 54234-9482. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Sister Bay Pharmacy can be contacted via phone (920) 854-4121, or through Thomas, James via phone (920) 854-4121.

Contact Information

Primary practice address
326 Country Walk Ln 6A Sister Bay WI 54234-9482
Phone: (920) 854-4121
Fax: (920) 854-9531
Website:
Map and Directions
Authorized official contact:
Name: Thomas, James
Phone: (920) 854-4121

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 7147042 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1740392661
LBN Legal business name Sister Bay Pharmacy
DBA Doing business as
Authorized official Thomas, James
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 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 1740392661 NPPES
Wisconsin MEDICAID 33178800
Wisconsin Other 5120578

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