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Village Bake Shop Inc
Long Term Care Pharmacy in La Crosse, Wisconsin
NPI 1073606406

Village Bake Shop Inc is a Long Term Care Pharmacy based in La Crosse, WI and is specialized in Long Term Care Pharmacy. Village Bake Shop Inc practices in La Crosse, WI. The NPI Number for Village Bake Shop Inc is 1073606406 and holds a License No. (Wisconsin).

The current practice location address for Village Bake Shop Inc is 3954 Mormon Coulee Rd, La Crosse, WI and can be reached out via phone at 608-784-6200 and via fax at 608-784-3808.

Location: 3954 Mormon Coulee Rd, La Crosse, WI, 54601-7916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073606406
Provider Name
Village Bake Shop Inc
Credential
Provider Entity Type
Organization
Address
3954 Mormon Coulee Rd, La Crosse, WI, 54601-7916
Phone Number
608-784-6200
Fax Number
608-784-3808
Provider Enumeration Date
09/30/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33060500 05 WI
5104687 01 NCPDP PROVIDER IDENTIFICATION NUMBER
636560400 05 MN
institution
Provider Business Practice Location Address Details
Address
3954 Mormon Coulee Rd
City
La Crosse
State
Wisconsin
Zip
54601-7916
Phone Number
608-784-6200
Fax Number
608-784-3808
person
Provider Business Mailing Address Details
Address
3954 Mormon Coulee Rd
City
La Crosse
State
Wisconsin
Zip
54601-7916
Phone Number
608-784-6200
Fax Number
608-784-3808
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
7708-42 (Wisconsin)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
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.
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