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H1 LACROSSE LLC NPI 1417156209


NPI Information

NPI: 1417156209
Provider Name: H1 LACROSSE LLC

Doing Business As: UVANTA PHARMACY OF LACROSSE

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
2840 21ST PL S
LA CROSSE, WI
ZIP 54601
Phone: (608) 784-6500
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H1 LACROSSE LLC is a long term care pharmacy pharmacy in La Crosse, 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. H1 LACROSSE LLC NPI is 1417156209. The provider is registered as an organization entity type.
The provider Is Doing Business As Uvanta Pharmacy Of Lacrosse.

The provider's business location address is:

2840 21ST PL S
LA CROSSE, WI
ZIP 54601-302
Phone: (608) 784-6500
Fax: (608) 784-6504

The provider's authorized official is Jeff Vanstraten .
The authorized official title is Owner and has the following contact phone number (262) 347-9405.

The enumeration date for this NPI number is 7/12/2007 and was last updated on 8/9/2011.


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
13336L0003XPharmacyLong Term Care Pharmacy8750042WISCONSINYes

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
133299800MEDICAIDWISCONSIN
25130024OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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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