Provider Type Icon

GERALD L. IGNACE INDIAN HEALTH CENTER INC. NPI 1487171054


NPI Information

NPI: 1487171054
Provider Name: GERALD L. IGNACE INDIAN HEALTH CENTER, INC.

Doing Business As: IGNACE INDIAN HEALTH PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
930 W HISTORIC MITCHELL ST
MILWAUKEE, WI
ZIP 53204
Phone: (920) 809-6488
Get Directions

GERALD L. IGNACE INDIAN HEALTH CENTER, INC. is a pharmacy in Milwaukee, WI. The provider is 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 prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. GERALD L. IGNACE INDIAN HEALTH CENTER, INC. NPI is 1487171054. The provider is registered as an organization entity type.
The provider Is Doing Business As Ignace Indian Health Pharmacy.

The provider's business location address is:

930 W HISTORIC MITCHELL ST
MILWAUKEE, WI
ZIP 53204-533
Phone: (920) 809-6488

The provider's authorized official is Georgette K Lucey-durrani .
The authorized official title is Pharmacy Director and has the following contact phone number (414) 316-5000.

The enumeration date for this NPI number is 8/24/2017 and was last updated on 6/20/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy9467WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.