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WHITE DRUG ENTERPRISES INC NPI 1033521109


NPI Information

NPI: 1033521109
Provider Name: WHITE DRUG ENTERPRISES INC

Doing Business As: THRIFTY WHITE PHARMACY #080

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 52D2090125

Address:
2720 S 163RD ST
NEW BERLIN, WI
ZIP 53151
Phone: (262) 780-1910
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WHITE DRUG ENTERPRISES INC is a long term care pharmacy pharmacy in New Berlin, WI. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. WHITE DRUG ENTERPRISES INC NPI is 1033521109. The provider is registered as an organization entity type.
The provider Is Doing Business As Thrifty White Pharmacy #080.

The provider's business location address is:

2720 S 163RD ST
NEW BERLIN, WI
ZIP 53151-610
Phone: (262) 780-1910
Fax: (262) 780-1914

The provider's authorized official is Anne Froistad .
The authorized official title is Licensing Coordinator and has the following contact phone number (763) 513-4377.

The CLIA number assigned to this NPI record is 52D2090125 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2014 and was last updated on 7/15/2021.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336L0003XPharmacyLong Term Care Pharmacy9265-42WISCONSINYes
43336S0011XPharmacySpecialty PharmacyNo
53336C0004XPharmacyCompounding PharmacyNo

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
11033521109MEDICAIDWISCONSIN
22145927OTHERPK

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: 4/28/2024

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