Village Bake Shop Inc in La Crosse - Community/retail Pharmacy
Village Bake Shop Inc - NPI 1073606406
Village Bake Shop Inc is a Community/retail Pharmacy in La Crosse, Wisconsin. Village Bake Shop Inc practices all healthcare services and medical treatments related to Community/retail 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 |
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Address | 3954 Mormon Coulee Rd, La Crosse, Wisconsin |
Phone Number | 6087846200 |
Fax Number | 6087843808 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | HEAD PHARM |
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Authorized Official Name | Berg James |
Credentials | RPH |
Telephone Number | 6087846200 |
NPI Number Detail
NPI Number | 1073606406 |
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Provider Enumeration Date | 2006-09-30 |
Last Updated Date | 2010-05-19 |
Provider Mailing Address Detail
Address | 3954 Mormon Coulee Rd |
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City | La Crosse |
State | Wisconsin (WI) |
Post Code | 546017916 |
Phone Number | 6087846200 |
Fax Number | 6087843808 |
Provider's Primary Taxonomy Detail
Speciality | Community/retail Pharmacy |
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Taxonomy | 3336C0003X |
Licence No | 7708-42 |
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
33060500 | WI | -- | |
5104687 | NCPDP PROVIDER IDENTIFICATION | ||
636560400 | MN | -- |
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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 Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, 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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