Provider Demographics
NPI:1346342144
Name:PHARMACARE LTD
Entity Type:Organization
Organization Name:PHARMACARE LTD
Other - Org Name:COLBY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:HENKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-833-6770
Mailing Address - Street 1:36363 MAIN ST
Mailing Address - Street 2:PO BOX 7
Mailing Address - City:WHITEHALL
Mailing Address - State:WI
Mailing Address - Zip Code:54773-9186
Mailing Address - Country:US
Mailing Address - Phone:715-538-4947
Mailing Address - Fax:715-538-4598
Practice Address - Street 1:36363 MAIN ST
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:WI
Practice Address - Zip Code:54773-9186
Practice Address - Country:US
Practice Address - Phone:715-538-4947
Practice Address - Fax:715-538-4598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-02
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI33263200Medicaid
WI4657630003Medicare NSC