Martin Luther King Heritage Health Center is not a DME supplier for medicare equipments and products.
Martin Luther King Heritage Health Center is a Clinic Pharmacy in Milwaukee, Wisconsin. This pharmacy is owned and operated by Milwaukee Health Services, Inc.. It is located at 2555 N Martin Luther King Dr, Milwaukee and it's customer support contact number is 414-267-3702. The authorized person of Martin Luther King Heritage Health Center is Tito L Izard, M.D. who is President/chief Executive Officer of the pharmacy and his contact number is 414-372-8080. Active license number of Martin Luther King Heritage Health Center is 8681-42 for Clinic Pharmacy in Wisconsin. Martin Luther King Heritage Health Center is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Martin Luther King Heritage Health Center 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:
Martin Luther King Heritage Health Center
Type:
Clinic Pharmacy
Location:
2555 N Martin Luther King Dr, Milwaukee, Wisconsin, 53212-2709
Phone:
414-267-3702
Fax:
414-562-8084
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:
Tito L Izard
Credentials:
M.D.
Position:
President/chief Executive Officer
Contact Number:
414-372-8080
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:
1821028887
NPI Enumeration Date:
04 Jul, 2006
NPI Last Update On:
07 Aug, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Martin Luther King Heritage Health Center are as mentioned below.
Specialization
License Number
State
Status
Clinic Pharmacy
8681-42
Wisconsin
Primary
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
32958200
Medicaid
Wisconsin
36228200
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:
2555 N Martin Luther King Dr, Milwaukee, Wisconsin
Zip:
53212-2709
Phone Number:
414-267-3702
Fax Number:
414-372-1697
Patients can reach Martin Luther King Heritage Health Center at 2555 N Martin Luther King Dr, Milwaukee, Wisconsin or can call on customer care at 414-267-3702.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.
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