Village Bake Shop Inc in La Crosse - Pharmacy
Village Bake Shop Inc - NPI 1073606406
Village Bake Shop Inc is a Pharmacy in La Crosse, Wisconsin. Village Bake Shop Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Village Bake Shop Inc is 1073606406. The last update date is 2010-05-19.
Village Bake Shop Inc's current location address is 3954 Mormon Coulee Rd, La Crosse, Wisconsin. You can contact this provider via phone number 6087846200 and fax number 6087843808. The mailing address for Village Bake Shop Inc is 3954 Mormon Coulee Rd, La Crosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Village Bake Shop Inc |
|---|---|
| Address | 3954 Mormon Coulee Rd, La Crosse, Wisconsin |
| Phone Number | 6087846200 |
| Fax Number | 6087843808 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | HEAD PHARM |
|---|---|
| Authorized Official Name | Berg James |
| Credentials | RPH |
| Telephone Number | 6087846200 |
NPI Number Detail
| NPI Number | 1073606406 |
|---|---|
| Provider Enumeration Date | 2006-09-30 |
| Last Updated Date | 2010-05-19 |
Provider Mailing Address Detail
| Address | 3954 Mormon Coulee Rd |
|---|---|
| City | La Crosse |
| State | Wisconsin (WI) |
| Post Code | 546017916 |
| Phone Number | 6087846200 |
| Fax Number | 6087843808 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33060500 | WI | -- | |
| 5104687 | NCPDP PROVIDER IDENTIFICATION | ||
| 636560400 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Village Bake Shop Inc by the Centers for Medicare & Medicaid Services?
The Village Bake Shop Inc has been assigned the NPI (National Provider Identifier) 1073606406. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Village Bake Shop Inc is located?
The Village Bake Shop Inc is situated at the following address: 3954 Mormon Coulee Rd, La Crosse, WI, 546017916.
What is Village Bake Shop Inc's area of expertise and its corresponding taxonomy classification?
The Village Bake Shop Inc's field of specialization is Pharmacy, and it falls under the taxonomy code 333600000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1073606406 assigned to Village Bake Shop Inc?
The Village Bake Shop Inc was issued its 1073606406 on 2006-09-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Village Bake Shop Inc last refreshed?
The information related to the Village Bake Shop Inc, including its address, specialty, and other relevant details, was last updated on 2010-05-19.
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