Luther Haven Pharmacy is not a DME supplier for medicare equipments and products.
Luther Haven Pharmacy is a Long Term Care Pharmacy in Milwaukee, Wisconsin. This pharmacy is owned and operated by Badger Acquisition Of Wisconsin, Llc. It is located at 8949 N 97th St, Milwaukee and it's customer support contact number is 414-354-8554. The authorized person of Luther Haven Pharmacy is Jonathan D Kukulski who is Corporate Secretary of the pharmacy and his contact number is 513-719-2600. Active license number of Luther Haven Pharmacy is 032006914 for Long Term Care Pharmacy in Wisconsin. Luther Haven Pharmacy is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Luther Haven Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Luther Haven Pharmacy
Type:
Long Term Care Pharmacy
Location:
8949 N 97th St, Milwaukee, Wisconsin, 53224-1695
Phone:
414-354-8554
Fax:
414-354-8521
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Jonathan D Kukulski
Position:
Corporate Secretary
Contact Number:
513-719-2600
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1568568913
NPI Enumeration Date:
15 Sep, 2006
NPI Last Update On:
15 Sep, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Luther Haven Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Long Term Care Pharmacy
032006914
Wisconsin
Primary
Parenteral & Enteral Nutrition
032006914
Wisconsin
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5119145
Other
Wisconsin
Ncpdp
33232400
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
201 E 4th St, 900 Omnicare Center Cincinnati, Ohio
Zip:
45202-4248
Phone Number:
513-719-2600
Fax Number:
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Patients can reach Luther Haven Pharmacy at 8949 N 97th St, Milwaukee, Wisconsin or can call on customer care at 414-354-8554.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
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