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MIKE FLINT ENTERPRISES INC NPI 1679575476


NPI Information

NPI: 1679575476
Provider Name: MIKE FLINT ENTERPRISES INC

Doing Business As: MALLATT'S PHARMACY AND COSTUME #101

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1255 WILLIAMSON ST
MADISON, WI
ZIP 53703
Phone: (608) 255-9116
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MIKE FLINT ENTERPRISES INC is a community/retail pharmacy pharmacy in Madison, WI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MIKE FLINT ENTERPRISES INC NPI is 1679575476. The provider is registered as an organization entity type.
The provider Is Doing Business As Mallatt's Pharmacy And Costume #101.

The provider's business location address is:

1255 WILLIAMSON ST
MADISON, WI
ZIP 53703-754
Phone: (608) 255-9116
Fax: (608) 255-9969

The provider's authorized official is John Michael Flint .
The authorized official title is President and has the following contact phone number (608) 310-9922.

The enumeration date for this NPI number is 8/11/2005 and was last updated on 5/18/2015.


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
13336C0003XPharmacyCommunity/Retail Pharmacy9024-42WISCONSINYes

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
12126885OTHERPK
233074800MEDICAIDWISCONSIN

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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