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Organization
B7 PHARMACY INC
Active
Organization
B7 PHARMACY INC
Active
Other names
Good Value Pharmacy Medcare West
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX BERCE PHARMD (PRESIDENT, PHARMACIST)
(262) 925-0201
Entity
Organization
Contact information
Practice address
9916 75TH ST STE 103, KENOSHA, WI 53142-7583
(262) 925-0201
(262) 925-8373
Mailing address
9916 75TH ST STE 103, KENOSHA, WI 53142-7583
(262) 925-0201
(262) 925-8373
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
9007-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245559301
—
WI
01
—
2125171
PK
—
Enumeration date
05/27/2010
Last updated
04/04/2017
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