Sister Bay Hometown Pharmacy

LBN: Sister Bay Hometown Pharmacy Llc
Sister Bay Hometown Pharmacy is an health care organization with primary practice located at 10578 Country Walk Dr Unit 27 , Sister Bay WI 54234-9114. 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. Sister Bay Hometown Pharmacy Llc can be contacted via phone (920) 633-4060, or through Stocks, Haley via phone (920) 992-6800.

Contact Information

Primary practice address
10578 Country Walk Dr Unit 27 Sister Bay WI 54234-9114
Phone: (920) 633-4060
Fax: (920) 633-4062
Website:
Map and Directions
Authorized official contact:
Name: Stocks, Haley
Phone: (920) 992-6800

Health care specialties

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

Profile Details

NPI number 1356800361
LBN Legal business name Sister Bay Hometown Pharmacy Llc
DBA Doing business as Sister Bay Hometown Pharmacy
Authorized official Stocks, Haley
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2019
Last updated Dec 20th, 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 1356800361 NPPES
Wisconsin MEDICAID 100087548

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