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Organization
BEL-REGIONAL HOME MEDICAL INC
Active
Organization
BEL-REGIONAL HOME MEDICAL INC
Active
Other names
Bellin In Store Meds & More
Organization subpart
No
Provider details
NPI number
Authorized official
DENSIE K STROOBANTS (CREDENTIALLING SPECIALIST)
(920) 433-7864
Entity
Organization
Contact information
Practice address
3263 EATON RD, GREEN BAY, WI 54311-6830
(920) 433-6790
(920) 433-6789
Mailing address
3263 EATON RD, GREEN BAY, WI 54311-6830
(920) 433-6790
(920) 433-6789
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8904-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5131317
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
7816-42
WISCONSIN LICENSE
WI
Enumeration date
12/23/2008
Last updated
10/27/2021
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