Bay Hometown Pharmacy

LBN: Bay Hometown Pharmacy Llc
Bay Hometown Pharmacy is an health care organization with primary practice located at 231 N 7Th Ave , Sturgeon Bay WI 54235-1707. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Bay Hometown Pharmacy Llc can be contacted via phone (920) 746-4110, or through Deans, Diane via phone (920) 992-6800.

Contact Information

Primary practice address
231 N 7Th Ave Sturgeon Bay WI 54235-1707
Fax: (920) 746-4120
Website:
Authorized official contact:
Name: Deans, Diane

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 9290-42 Wisconsin

Profile Details

NPI number 1083011530
LBN Legal business name Bay Hometown Pharmacy Llc
DBA Doing business as Bay Hometown Pharmacy
Authorized official Deans, Diane
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2014
Last updated Oct 22nd, 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 1083011530 NPPES
Wisconsin MEDICAID 1000043437
Wisconsin Other 2149377

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