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THREE LAKES PHARMACY
NPI 1104285907
Pharmacy - Community/Retail Pharmacy in Three Lakes, WI

Active since February 22, 2016
1790 SUPERIOR ST, THREE LAKES, WI 54562(715) 546-3266(715) 546-2912 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 20, 2017, Jun 21, 2016, Apr 1, 2016 and 1 more (4 updates tracked since 2016).

About Three Lakes Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THREE LAKES PHARMACY (NPI 1104285907) is a healthcare organization registered as a community/retail pharmacy in Three Lakes, Wisconsin and active in the NPI registry since February 2016. The organization lists Seth Moe, Pharmd, as its authorized official.

NPPES Registry Identity

NPI1104285907
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMOE DRUGS LLC
Location Address1790 SUPERIOR STThree Lakes, WI 54562-9046
Mailing Address1790 Superior StThree Lakes, WI 54562-9046 · (715) 546-3266 · Fax (715) 546-2912
Phone(715) 546-3266
Fax(715) 546-2912
Organization SubpartNo
Authorized OfficialSeth MoePharmd · (920) 639-1384
Enumeration DateFebruary 22, 2016
Last NPPES UpdateFebruary 20, 20174 updates tracked since enumeration
✔ NPI 1104285907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WI · 9400-42
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
1790 SUPERIOR ST, Three Lakes, WI 54562
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Other Names 1

Doing Business AsThree Lakes Pharmacy

Other Identifiers 2

Medicaid100055480WI
Other2158870Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SETH MOE PHARM D.
Pharmacist
1790 SUPERIOR ST
THREE LAKES, WI 54562
Oneida County (715) 546-3266
LINDERUD APOTHECARIES LLC
Pharmacy
1790 SUPERIOR ST
THREE LAKES, WI 54562
Oneida County (715) 546-3266

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moe Drugs LLC's NPI number?

The NPI number for Moe Drugs LLC is 1104285907. It was assigned to this organization in the NPPES registry on February 22, 2016. The provider is doing business as Three Lakes Pharmacy.

Where is Moe Drugs LLC located?

Moe Drugs LLC is located at 1790 Superior St, Three Lakes, WI 54562. The listed phone number is (715) 546-3266.

What is Moe Drugs LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Moe Drugs LLC accept?

Health plans from Medica and Moda Health Plan, Inc. list Moe Drugs LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Moe Drugs LLC was last updated on February 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.