# FHHP SUSSEX LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FHHP Sussex
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396185278
- **Authorized official:** MELISSA BREITENSTEIN (CONTRACTING SPECIALIST)
- **Authorized official phone:** (920) 992-6800

## Contact information

- **Practice address:** N65W24838 MAIN ST, SUSSEX, WI 53089-2670
- **Practice address phone:** (262) 820-0200
- **Practice address fax:** (262) 820-0243
- **Mailing address:** 333 LOWVILLE RD, RIO, WI 53960-9437
- **Mailing address phone:** (920) 992-6800
- **Mailing address fax:** (920) 992-6801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 9207-42 | WI | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/25/2013
- **Last updated:** 07/02/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2140931 | PK | — |