Cuba City Hometown Pharmacy

LBN: Cuba City Hometown Pharmacy, Llc
Cuba City Hometown Pharmacy is an health care organization with primary practice located at 122 N Main St , Cuba City WI 53807-1538. 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. Cuba City Hometown Pharmacy, Llc can be contacted via phone (608) 744-2440, or through Strause, Daniel via phone (920) 992-6800.

Contact Information

Primary practice address
122 N Main St Cuba City WI 53807-1538
Phone: (608) 744-2440
Fax: (608) 744-2447
Website:
Map and Directions
Authorized official contact:
Name: Strause, Daniel
Phone: (920) 992-6800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 9234-42 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1457782385
LBN Legal business name Cuba City Hometown Pharmacy, Llc
DBA Doing business as Cuba City Hometown Pharmacy
Authorized official Strause, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2013
Last updated Apr 30th, 2020 - about 4 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 1457782385 NPPES
Wisconsin MEDICAID 100035743

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