Sun Prairie Hometown Pharmacy
LBN: Sun Prairie Hometown Pharmacy Llc
Sun Prairie Hometown Pharmacy is an health care organization with primary practice located at 13 N Bird St , Sun Prairie WI 53590-2878. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Sun Prairie Hometown Pharmacy Llc can be contacted via phone (608) 825-7530, or through Strause, Daniel via phone (920) 992-6800.
Contact Information
Primary practice address
13 N Bird St
Sun Prairie WI 53590-2878
Phone: (608) 825-7530
Fax: (608) 825-7532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 9192-42 | Wisconsin |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1316288152 |
|---|---|
| LBN Legal business name | Sun Prairie Hometown Pharmacy Llc |
| DBA Doing business as | Sun Prairie Hometown Pharmacy |
| Authorized official | Strause, Daniel |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 4th, 2013 |
| Last updated | Nov 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316288152 | NPPES |
| Wisconsin | Other | WI3102 | PIN |
| Wisconsin | Other | 2139226 | PIN |
| Wisconsin | MEDICAID | 100028581 | PIN |
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