Organization
B7 PHARMACY, INC.
Active
Other names
Good Value Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX BERCE PHARMD (PRESIDENT)
(262) 658-8124
Entity
Organization
Contact information
Practice address
9916 75TH ST, SUITE 203, KENOSHA, WI 53142-7583
(262) 925-0201
(262) 925-0202
Mailing address
9916 75TH ST, SUITE 203, KENOSHA, WI 53142-7583
(262) 925-0201
(262) 925-0202
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
9012-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33278800
—
WI
Enumeration date
11/09/2006
Last updated
11/11/2024
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