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Bellicose International Inc.
Pharmacy in Grantsburg, Wisconsin
NPI 1639174980

Bellicose International Inc. is a Pharmacy based in Grantsburg, WI. Bellicose International Inc. practices in Grantsburg, WI. The NPI Number for Bellicose International Inc. is 1639174980 and holds a License No. 6872 (Wisconsin).

The current practice location address for Bellicose International Inc. is 122 W Madison Ave, Grantsburg, WI and can be reached out via phone at 715-463-2525 and via fax at 715-463-5343.

Location: 122 W Madison Ave, Grantsburg, WI, 54840-7022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639174980
Provider Name
Bellicose International Inc.
Credential
Provider Entity Type
Organization
Address
122 W Madison Ave, Grantsburg, WI, 54840-7022
Phone Number
715-463-2525
Fax Number
715-463-5343
Provider Enumeration Date
06/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000086607 01 WI MEDICARE
5106047 01 WI NABP
33154200 05 WI
institution
Provider Business Practice Location Address Details
Address
122 W Madison Ave
City
Grantsburg
State
Wisconsin
Zip
54840-7022
Phone Number
715-463-2525
Fax Number
715-463-5343
person
Provider Business Mailing Address Details
Address
122 W Madison Ave
City
Grantsburg
State
Wisconsin
Zip
54840-7022
Phone Number
715-463-2525
Fax Number
715-463-5343
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
6872 (Wisconsin)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
6872 (Wisconsin)
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.
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