Reeseville Village Pharmacy Llc in Reeseville - Pharmacy
Reeseville Village Pharmacy Llc - NPI 1891866802
Reeseville Village Pharmacy Llc is a Pharmacy in Reeseville, Wisconsin. Reeseville Village Pharmacy Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Reeseville Village Pharmacy Llc is 1891866802. The last update date is 2013-02-05.
Reeseville Village Pharmacy Llc's current location address is 202 S. Main St., Reeseville, Wisconsin. You can contact this provider via phone number 9209273305 and fax number 9209273307. The mailing address for Reeseville Village Pharmacy Llc is 202 S. Main St., Reeseville, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Reeseville Village Pharmacy Llc |
|---|---|
| Address | 202 S. Main St., Reeseville, Wisconsin |
| Phone Number | 9209273305 |
| Fax Number | 9209273307 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SOLE MEMBE |
|---|---|
| Authorized Official Name | Dykstra Lee James |
| Credentials | R.PH, |
| Telephone Number | 9209273305 |
NPI Number Detail
| NPI Number | 1891866802 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2013-02-05 |
Provider Mailing Address Detail
| Address | 202 S. Main St. |
|---|---|
| City | Reeseville |
| State | Wisconsin (WI) |
| Post Code | 535790087 |
| Phone Number | 9209273305 |
| Fax Number | 9209273307 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 5761-042 |
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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 |
|---|---|---|---|
| 33098800 | WI | -- | |
| 5109005 | WI | NCPDP NUMBER |
Post Comment/ Review Below
What is the Reeseville Village Pharmacy Llc's 1891866802?
The Reeseville Village Pharmacy Llc's NPI (National Provider Identifier) Number is 1891866802. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Reeseville Village Pharmacy Llc's facilities are geographically located?
The facilities of Reeseville Village Pharmacy Llc are physically situated at the following location: 202 S. Main St., Reeseville, WI, 535790087.
What is Reeseville Village Pharmacy Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Reeseville Village Pharmacy Llc's specialized field of practice is Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 333600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891866802 to Reeseville Village Pharmacy Llc?
The Centers for Medicare & Medicaid Services originally issued the 1891866802 to Reeseville Village Pharmacy Llc on 2006-11-13.
As of what date were the details related to Reeseville Village Pharmacy Llc most recently updated or revised?
The information pertaining to Reeseville Village Pharmacy Llc, including its address, specialty, and other relevant details, was last updated or revised on 2013-02-05.
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