Lake Mills Hometown Pharmacy

LBN: Lake Mills Hometown Pharmacy Llc
Lake Mills Hometown Pharmacy is an health care organization with primary practice located at 372 E Tyranena Park Rd , Lake Mills WI 53551-9680. 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. Lake Mills Hometown Pharmacy Llc can be contacted via phone (920) 945-2500, or through Strause, Daniel via phone (920) 992-6800.

Contact Information

Primary practice address
372 E Tyranena Park Rd Lake Mills WI 53551-9680
Phone: (920) 945-2500
Fax: (920) 945-2503
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 / Community/Retail Pharmacy 3336C0003X 9469-42 Wisconsin
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1720508245
LBN Legal business name Lake Mills Hometown Pharmacy Llc
DBA Doing business as Lake Mills Hometown Pharmacy
Authorized official Strause, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2017
Last updated Jun 24th, 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 1720508245 NPPES
Wisconsin MEDICAID 100070330

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