Poynette Hometown Pharmacy
LBN: Md Group Ii Llc
Poynette Hometown Pharmacy is an health care organization with primary practice located at 317 N Us Highway 51 , Poynette WI 53955-9344. 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.
Md Group Ii Llc can be contacted via phone (608) 635-9456, or through Strause, Daniel via phone (920) 992-6800.
Contact Information
Primary practice address
317 N Us Highway 51
Poynette WI 53955-9344
Phone: (608) 635-9456
Fax: (608) 635-9458
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 8676042 | Wisconsin |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1336254382 |
|---|---|
| LBN Legal business name | Md Group Ii Llc |
| DBA Doing business as | Poynette Hometown Pharmacy |
| Authorized official | Strause, Daniel |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | May 23rd, 2024 - 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 | 1336254382 | NPPES |
| Other | 5129324 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 33289900 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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