Organization Name: | JAMES PHARMACY-BARRON LTD |
NPI Number: | 1972682920 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSHUA J PROHASKA (OWNER) |
Mailing Address: | 337 E La Salle Ave Barron |
State: | WI US |
Postal Code: | 548121502 |
Phone Number: | 7155375005 |
Fax Number: | 7155375834 |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 08/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 6846042 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy 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 |