B7 PHARMACY INC. NPI 1689744286

NPI Information

B7 PHARMACY, INC. is a long term care pharmacy pharmacy in Kenosha, 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. B7 PHARMACY, INC. NPI is 1689744286. The provider is registered as an organization entity type.
The provider Is Doing Business As Good Value Pharmacy Ltc.

The provider's business location address is:

9916 75TH ST
SUITE 203
KENOSHA, WI
ZIP 53142-583
Phone: (262) 925-0201
Fax: (262) 925-0202

The provider's authorized official is Philip T Berce .
The authorized official title is Owner and has the following contact phone number (262) 697-5744.

The CLIA number assigned to this NPI record is 52D0949954 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 7/28/2010.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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