# BEL-REGIONAL HOME MEDICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bellin In Store Meds & More
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760628655
- **Authorized official:** DENSIE K STROOBANTS (CREDENTIALLING SPECIALIST)
- **Authorized official phone:** (920) 433-7864

## Contact information

- **Practice address:** 3263 EATON RD, GREEN BAY, WI 54311-6830
- **Practice address phone:** (920) 433-6790
- **Practice address fax:** (920) 433-6789
- **Mailing address:** 3263 EATON RD, GREEN BAY, WI 54311-6830
- **Mailing address phone:** (920) 433-6790
- **Mailing address fax:** (920) 433-6789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 8904-42 | WI | Yes |

## Other

- **Enumeration date:** 12/23/2008
- **Last updated:** 10/27/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5131317 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 01 | — | 7816-42 | WISCONSIN LICENSE | WI |