Prohealth Pharmacy - Waukesha

LBN: Waukesha Health System, Inc
Prohealth Pharmacy - Waukesha is an health care organization with primary practice located at 725 American Ave Ste 2309 , Waukesha WI 53188-5031. 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. Waukesha Health System, Inc can be contacted via phone (262) 928-2279, or through Johnson, Thomas W via phone (262) 928-4704.

Contact Information

Primary practice address
725 American Ave Ste 2309 Waukesha WI 53188-5031
Phone: (262) 928-2279
Fax: (262) 544-0928
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Thomas W
Phone: (262) 928-4704

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 669442 Wisconsin

Profile Details

NPI number 1073528675
LBN Legal business name Waukesha Health System, Inc
DBA Doing business as Prohealth Pharmacy - Waukesha
Authorized official Johnson, Thomas W
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Dec 14th, 2022 - about 3 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 1073528675 NPPES
Other 2113659 PK
MEDICAID 33154500 PK

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