Uvanta Pharmacy - Fox Valley
LBN: Uvanta Pharmacy Llc
Uvanta Pharmacy - Fox Valley is an health care organization with primary practice located at 1050 S Grider St Suite C, Appleton WI 54914. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Uvanta Pharmacy Llc can be contacted via phone (920) 257-2411, or through Marcus, Steven via phone (920) 739-6104.
Contact Information
Primary practice address
1050 S Grider St Suite C
Appleton WI 54914
Phone: (920) 257-2411
Fax: (866) 924-9688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 9466-42 | Wisconsin |
Profile Details
| NPI number | 1356863252 |
|---|---|
| LBN Legal business name | Uvanta Pharmacy Llc |
| DBA Doing business as | Uvanta Pharmacy - Fox Valley |
| Authorized official | Marcus, Steven |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 12th, 2017 |
| Last updated | May 14th, 2018 - about 6 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 | 1356863252 | NPPES |
| Other | 2170173 | PK | |
| MEDICAID | 100069413 | PK |
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