West Salem Pharmacy

LBN: West Salem Pharmacy Llc
West Salem Pharmacy is an health care organization with primary practice located at 880 Mill St N , West Salem WI 54669-2213. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. West Salem Pharmacy Llc can be contacted via phone (608) 786-0210, or through Brieske, Amy via phone (608) 786-0210.

Contact Information

Primary practice address
880 Mill St N West Salem WI 54669-2213
Phone: (608) 786-0210
Fax: (608) 786-0211
Website:
Map and Directions
Authorized official contact:
Name: Brieske, Amy
Phone: (608) 786-0210

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 9004-42 Wisconsin

Profile Details

NPI number 1770532384
LBN Legal business name West Salem Pharmacy Llc
DBA Doing business as West Salem Pharmacy
Authorized official Brieske, Amy
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2006
Last updated Aug 9th, 2016 - about 8 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 1770532384 NPPES
Other 2111878 PK
MEDICAID 33287600 PK

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