Wi Rapids Hometown Pharmacy
LBN: Wi Rapids Hometown Pharmacy Llc
Wi Rapids Hometown Pharmacy is an health care organization with primary practice located at 1000 E Riverview Expy Ste 150 , Wisconsin Rapids WI 54494-5471. 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.
Wi Rapids Hometown Pharmacy Llc can be contacted via phone (715) 712-0870, or through Stocks, Haley via phone (920) 992-6800.
Contact Information
Primary practice address
1000 E Riverview Expy Ste 150
Wisconsin Rapids WI 54494-5471
Phone: (715) 712-0870
Fax: (715) 712-0718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1780141663 |
|---|---|
| LBN Legal business name | Wi Rapids Hometown Pharmacy Llc |
| DBA Doing business as | Wi Rapids Hometown Pharmacy |
| Authorized official | Stocks, Haley CPHT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 27th, 2019 |
| Last updated | Apr 7th, 2022 - about 2 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 | 1780141663 | NPPES |
| Wisconsin | MEDICAID | 100086300 |
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