Mlk Heritage Health Center is an authorized DME supplier for medicare equipments and products.
Mlk Heritage Health Center is a 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 414-267-2021. The authorized person of Mlk Heritage Health Center is Dr. Tito L Izard, M.D. who is President Ceo of the pharmacy and his contact number is 414-267-2021. Active license number of Mlk Heritage Health Center is 8681-42 for Pharmacy in Wisconsin. Mlk Heritage Health Center accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Mlk Heritage Health Center is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Mlk 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:
Mlk Heritage Health Center
Type:
Pharmacy
Location:
2555 N Martin Luther King Dr, Milwaukee, Wisconsin, 53212-2709
Phone:
414-267-2021
Fax:
414-372-7420
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:
Dr. Tito L Izard
Credentials:
M.D.
Position:
President Ceo
Contact Number:
414-267-2021
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:
1316980709
NPI Enumeration Date:
14 Jun, 2006
NPI Last Update On:
05 Apr, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mlk Heritage Health Center are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
8681-42
Wisconsin
Primary
Federally Qualified Health Center (FQHC)
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
32958200
Medicaid
Wisconsin
Medicare Enrollment:
Mlk Heritage Health Center 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
7416946884
O20060823000610
Milwaukee Health Services, Inc.
PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
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:
414-267-2021
Fax Number:
414-372-7420
Patients can reach Mlk Heritage Health Center at 2555 N Martin Luther King Dr, Milwaukee, Wisconsin or can call on customer care at 414-267-2021.
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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