Poynette Hometown Pharmacy

LBN: Md Group Ii Llc
Poynette Hometown Pharmacy is an health care organization with primary practice located at 317 N Us Highway 51 , Poynette WI 53955-9344. 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. Md Group Ii Llc can be contacted via phone (608) 635-9456, or through Strause, Daniel via phone (920) 992-6800.

Contact Information

Primary practice address
317 N Us Highway 51 Poynette WI 53955-9344
Fax: (608) 635-9458
Website:
Authorized official contact:
Name: Strause, Daniel

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 8676042 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1336254382
LBN Legal business name Md Group Ii Llc
DBA Doing business as Poynette Hometown Pharmacy
Authorized official Strause, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated May 23rd, 2024 - about 7 months 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 1336254382 NPPES
Other 5129324 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 33289900 NCPDP PROVIDER IDENTIFICATION NUMBER

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