Oregon Hometown Pharmacy

LBN: Md Group Llc
Oregon Hometown Pharmacy is an health care organization with primary practice located at 815 N Main St , Oregon WI 53575-1005. 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. Md Group Llc can be contacted via phone (608) 835-3191, or through Mabie, Matthew via phone (920) 992-6800.

Contact Information

Primary practice address
815 N Main St Oregon WI 53575-1005
Phone: (608) 835-3191
Fax: (608) 835-5467
Website:
Map and Directions
Authorized official contact:
Name: Mabie, Matthew RPH
Phone: (920) 992-6800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 8262042 Wisconsin

Profile Details

NPI number 1811939150
LBN Legal business name Md Group Llc
DBA Doing business as Oregon Hometown Pharmacy
Authorized official Mabie, Matthew RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated May 21st, 2012 - about 14 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 1811939150 NPPES
Wisconsin MEDICAID 1811939150
Wisconsin Other 5116416

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