Algoma Hometown Pharmacy Llc

LBN: Algoma Hometown Pharmacy Llc
Algoma Hometown Pharmacy Llc is an health care organization with primary practice located at 801 Jefferson St , Algoma WI 54201-1733. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Algoma Hometown Pharmacy Llc can be contacted via phone (920) 487-2887, or through Stocks, Haley via phone (920) 992-6800.

Contact Information

Primary practice address
801 Jefferson St Algoma WI 54201-1733
Phone: (920) 487-2887
Fax: (920) 487-3139
Website:
Map and Directions
Authorized official contact:
Name: Stocks, Haley
Phone: (920) 992-6800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1912416991
LBN Legal business name Algoma Hometown Pharmacy Llc
DBA Doing business as
Authorized official Stocks, Haley
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2017
Last updated Dec 20th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912416991 NPPES
Wisconsin MEDICAID 100072408

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