Methodist Manor Health Center, Inc. in West Allis - Pharmacy
Methodist Manor Health Center, Inc. - NPI 1073580403
Methodist Manor Health Center, Inc. is a Pharmacy in West Allis, Wisconsin. Methodist Manor Health Center, Inc. practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Methodist Manor Health Center, Inc. is 1073580403. The last update date is 2023-03-07.
Methodist Manor Health Center, Inc.'s current location address is 3023 S 84th St, West Allis, Wisconsin. You can contact this provider via phone number 4146074100 and fax number 4146074502. The mailing address for Methodist Manor Health Center, Inc. is 3023 S 84th St, West Allis, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Methodist Manor Health Center, Inc. |
|---|---|
| Address | 3023 S 84th St, West Allis, Wisconsin |
| Phone Number | 4146074100 |
| Fax Number | 4146074502 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Enlund James |
| Telephone Number | 4146074100 |
NPI Number Detail
| NPI Number | 1073580403 |
|---|---|
| Provider Enumeration Date | 2006-03-03 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 3023 S 84th St |
|---|---|
| City | West Allis |
| State | Wisconsin (WI) |
| Post Code | 532273703 |
| Phone Number | 4146074100 |
| Fax Number | 4146074502 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 6309 |
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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 |
|---|---|---|---|
| 5116187 | WI | NCPDP NUMBER | |
| 6309 | WI | STATE LICENSE NUMBER | |
| 33028500 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Methodist Manor Health Center, Inc. by the Centers for Medicare & Medicaid Services?
The Methodist Manor Health Center, Inc. has been assigned the NPI (National Provider Identifier) 1073580403. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Methodist Manor Health Center, Inc.?
The Methodist Manor Health Center, Inc. is situated at 3023 S 84Th St, in the city of West Allis, state of WI, with the zip code 532273703.
What is Methodist Manor Health Center, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Methodist Manor Health Center, Inc.'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 1073580403 to Methodist Manor Health Center, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1073580403 to Methodist Manor Health Center, Inc. on 2006-03-03.
As of what date were the Methodist Manor Health Center, Inc.'s details last updated?
The information pertaining to the Methodist Manor Health Center, Inc., including its address, specialty, and other details, was most recently updated on 2023-03-07.