Lodi Hometown Pharmacy

LBN: Lodi Hometown Pharmacy Llc
Lodi Hometown Pharmacy is an health care organization with primary practice located at 801 N Main St Ste A , Lodi WI 53555-1279. 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. Lodi Hometown Pharmacy Llc can be contacted via phone (608) 592-0662, or through Strause, Daniel via phone (920) 992-6800.

Contact Information

Primary practice address
801 N Main St Ste A Lodi WI 53555-1279
Phone: (608) 592-0662
Fax: (608) 592-0665
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
Suppliers / Community/Retail Pharmacy 3336C0003X 9429-42 Wisconsin
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1144770553
LBN Legal business name Lodi Hometown Pharmacy Llc
DBA Doing business as Lodi Hometown Pharmacy
Authorized official Strause, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2016
Last updated Jan 13th, 2023 - about last year

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 1144770553 NPPES
Other 2165724 PK
MEDICAID 100063466 PK

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