Kewaunee Hometown Pharmacy
LBN: Kewaunee Hometown Pharmacy Llc
Kewaunee Hometown Pharmacy is an health care organization with primary practice located at 1614 Center St , Kewaunee WI 54216-1792. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Kewaunee Hometown Pharmacy Llc can be contacted via phone (920) 310-1616, or through Stocks, Haley via phone (920) 992-6800.
Contact Information
Primary practice address
1614 Center St
Kewaunee WI 54216-1792
Phone: (920) 310-1616
Fax: (920) 388-6164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1326608142 |
|---|---|
| LBN Legal business name | Kewaunee Hometown Pharmacy Llc |
| DBA Doing business as | Kewaunee Hometown Pharmacy |
| Authorized official | Stocks, Haley |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 14th, 2019 |
| Last updated | Nov 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326608142 | NPPES |
| Wisconsin | MEDICAID | 100090741 |
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