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METHODIST MANOR HEALTH CENTER INC. NPI 1518934264


NPI Information

NPI: 1518934264
Provider Name: METHODIST MANOR HEALTH CENTER, INC.

Doing Business As: MANOR PHARMACY - TRINITY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
7300 W DEAN RD
MILWAUKEE, WI
ZIP 53223
Phone: (414) 371-7381
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METHODIST MANOR 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. METHODIST MANOR HEALTH CENTER, INC. NPI is 1518934264. The provider is registered as an organization entity type.
The provider Is Doing Business As Manor Pharmacy - Trinity.

The provider's business location address is:

7300 W DEAN RD
MILWAUKEE, WI
ZIP 53223-637
Phone: (414) 371-7381
Fax: (414) 371-7525

The provider's authorized official is James Enlund .
The authorized official title is President & Ceo and has the following contact phone number (414) 607-4100.

The enumeration date for this NPI number is 3/1/2006 and was last updated on 4/8/2009.


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
1333600000XPharmacy8439WISCONSINYes

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=========OTHERWISCONSINTAX ID #
28439OTHERWISCONSINSTATE LICENSE NUMBER
35128120OTHERWISCONSINNCPDP NUMBER
433279600MEDICAIDWISCONSIN
5BM9024833OTHERWISCONSINDEA NUMBER
6525498MEDICARE ID-TYPE UNSPECIFIEDWISCONSINMEDICARE#

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

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