Hometown Long Term Care Pharmacy

LBN: Hometown Long Term Care Pharmacy Llc
Hometown Long Term Care Pharmacy is an health care organization with primary practice located at 1571 Ivory Dr , Sun Prairie WI 53590-1820. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Hometown Long Term Care Pharmacy Llc can be contacted via phone (608) 846-2750, or through Deans, Diane via phone (920) 992-6800.

Contact Information

Primary practice address
1571 Ivory Dr Sun Prairie WI 53590-1820
Phone: (608) 846-2750
Fax: (608) 846-2751
Website:
Map and Directions
Authorized official contact:
Name: Deans, Diane
Phone: (920) 992-6800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 9427-42 Wisconsin

Profile Details

NPI number 1659634988
LBN Legal business name Hometown Long Term Care Pharmacy Llc
DBA Doing business as Hometown Long Term Care Pharmacy
Authorized official Deans, Diane
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2012
Last updated Apr 7th, 2022 - about 2 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 1659634988 NPPES
Other 2137457 PK

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