Marketplace Pharmacy #2583 is an authorized DME supplier for medicare equipments and products.
Marketplace Pharmacy #2583 is a Community/Retail Pharmacy in Hayward, Wisconsin. This pharmacy is owned and operated by Coborns Inc. This organization is also known as sub part of Coborns Inc. It is located at 10514 Main St, Hayward and it's customer support contact number is 715-634-1817. The authorized person of Marketplace Pharmacy #2583 is Chad Nellis, PHARMD who is Director Of Pharmacy of the pharmacy and his contact number is 320-534-2743. Active license number of Marketplace Pharmacy #2583 is 9403-42 for Community/Retail Pharmacy in Wisconsin. Marketplace Pharmacy #2583 accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Marketplace Pharmacy #2583 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.
Pharmacy Details:
Marketplace Pharmacy #2583 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:
Marketplace Pharmacy #2583
Type:
Community/Retail Pharmacy
Location:
10514 Main St, Hayward, Wisconsin, 54843-6720
Phone:
715-634-1817
Fax:
855-304-4787
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:
Chad Nellis
Credentials:
PHARMD
Position:
Director Of Pharmacy
Contact Number:
320-534-2743
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:
1003260969
Parent Organization:
Coborns Inc
NPI Enumeration Date:
18 Apr, 2016
NPI Last Update On:
02 Oct, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marketplace Pharmacy #2583 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
9403-42
Wisconsin
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Pharmacy
Secondary
Compounding Pharmacy
Secondary
Long Term Care Pharmacy
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
2159610
Other
Pk
1000056023
Medicaid
Wisconsin
Medicare Enrollment:
Marketplace Pharmacy #2583 is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
3072416593
O20170413001168
Coborns Inc
DME SUPPLIER - PHARMACY
3072416593
O20170523000131
Coborns Inc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Products Available:
Marketplace Pharmacy #2583 has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Commodes, Urinals, & Bedpans
Diabetic Shoes & Inserts: Prefabricated
Heat & Cold Applications
Nebulizer Equipment & Supplies
Orthoses: Off-the-shelf
Ostomy Supplies
Urological Supplies
Walkers
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 6146, Pharmacy Office Saint Cloud, Minnesota
Zip:
56302-6146
Phone Number:
320-534-2745
Fax Number:
320-203-1095
Patients can reach Marketplace Pharmacy #2583 at 10514 Main St, Hayward, Wisconsin or can call on customer care at 715-634-1817.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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