Oregon Hometown Pharmacy
LBN: Md Group Llc
Oregon Hometown Pharmacy is an health care organization with primary practice located at 815 N Main St , Oregon WI 53575-1005. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Md Group Llc can be contacted via phone (608) 835-3191, or through Mabie, Matthew via phone (920) 992-6800.
Contact Information
Primary practice address
815 N Main St
Oregon WI 53575-1005
Phone: (608) 835-3191
Fax: (608) 835-5467
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 8262042 | Wisconsin |
Profile Details
NPI number | 1811939150 |
---|---|
LBN Legal business name | Md Group Llc |
DBA Doing business as | Oregon Hometown Pharmacy |
Authorized official | Mabie, Matthew RPH |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 12th, 2006 |
Last updated | May 21st, 2012 - about 12 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 | 1811939150 | NPPES |
Wisconsin | MEDICAID | 1811939150 | |
Wisconsin | Other | 5116416 |
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