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
—
—
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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