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MILWAUKEE HEALTH SERVICES INC. NPI 1821028887


NPI Information

NPI: 1821028887
Provider Name: MILWAUKEE HEALTH SERVICES, INC.

Doing Business As: MARTIN LUTHER KING HERITAGE HEALTH CENTER

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
2555 N MARTIN LUTHER KING DR
MILWAUKEE, WI
ZIP 53212
Phone: (414) 267-3702
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MILWAUKEE HEALTH SERVICES, INC. is a clinic pharmacy pharmacy in Milwaukee, WI. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. MILWAUKEE HEALTH SERVICES, INC. NPI is 1821028887. The provider is registered as an organization entity type.
The provider Is Doing Business As Martin Luther King Heritage Health Center.

The provider's business location address is:

2555 N MARTIN LUTHER KING DR
MILWAUKEE, WI
ZIP 53212-709
Phone: (414) 267-3702
Fax: (414) 562-8084

The provider's authorized official is Tito L Izard .
The authorized official title is President/chief Executive Officer and has the following contact phone number (414) 372-8080.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 8/7/2015.


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
13336C0002XPharmacyClinic Pharmacy8681-42WISCONSINYes

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
132958200MEDICAIDWISCONSIN
2521829MEDICARE OSCAR/CERTIFICATIONWISCONSIN
336228200MEDICAIDWISCONSIN
4000002690MEDICARE PINWISCONSIN

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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