Murdock Hometown Pharmacy

LBN: Murdock Hometown Pharmacy Llc
Murdock Hometown Pharmacy is an health care organization with primary practice located at 1828 Jackson St , Oshkosh WI 54901-2204. 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. Murdock Hometown Pharmacy Llc can be contacted via phone (920) 231-3000, or through Stocks, Haley via phone (920) 992-6800.

Contact Information

Primary practice address
1828 Jackson St Oshkosh WI 54901-2204
Fax:
Website:
Authorized official contact:
Name: Stocks, Haley

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 9195-42 Wisconsin

Profile Details

NPI number 1942542535
LBN Legal business name Murdock Hometown Pharmacy Llc
DBA Doing business as Murdock Hometown Pharmacy
Authorized official Stocks, Haley
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2013
Last updated Dec 21st, 2021 - about 3 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 1942542535 NPPES
Wisconsin MEDICAID 100029429
Wisconsin Other 2139531

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