Organization
BEL-REGIONAL HOME MEDICAL INC
Active
Other names
Bellin Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN STROM RPH (TEAM FACILITATION)
(920) 431-5696
Entity
Organization
Contact information
Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
(920) 430-4555
(920) 430-4559
Mailing address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
(920) 430-4555
(920) 430-4559
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8668-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2116510
PK
—
Enumeration date
08/07/2008
Last updated
06/22/2016
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