Skywalk Mequon

LBN: Wauwatosa Prescription Center Inc
Skywalk Mequon is an health care organization with primary practice located at 1655 W Mequon Rd , Mequon WI 53092. 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. Wauwatosa Prescription Center Inc can be contacted via phone (262) 236-7722, or through Olson, Jacob via phone (262) 432-7603.

Contact Information

Primary practice address
1655 W Mequon Rd Mequon WI 53092
Phone: (262) 236-7722
Fax: (262) 236-7784
Website:
Map and Directions
Authorized official contact:
Name: Olson, Jacob RPH
Phone: (262) 432-7603

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 9271-42 Wisconsin

Profile Details

NPI number 1811344666
LBN Legal business name Wauwatosa Prescription Center Inc
DBA Doing business as Skywalk Mequon
Authorized official Olson, Jacob RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2016
Last updated Aug 3rd, 2016 - about 9 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 1811344666 NPPES
Other 2160228 PK
MEDICAID 100038951 PK

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