Northland Hometown Pharmacy

LBN: Northland Hometown Pharmacy Llc
Northland Hometown Pharmacy is an health care organization with primary practice located at 420 E Northland Ave Ste H , Appleton WI 54911-2159. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Northland Hometown Pharmacy Llc can be contacted via phone (920) 840-6033, or through Deans, Diane via phone (920) 992-6800.

Contact Information

Primary practice address
420 E Northland Ave Ste H Appleton WI 54911-2159
Phone: (920) 840-6033
Fax: (920) 840-6017
Website:
Map and Directions
Authorized official contact:
Name: Deans, Diane
Phone: (920) 992-6800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1427514504
LBN Legal business name Northland Hometown Pharmacy Llc
DBA Doing business as Northland Hometown Pharmacy
Authorized official Deans, Diane
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2019
Last updated Dec 21st, 2021 - about 5 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 1427514504 NPPES
Wisconsin MEDICAID 100086182

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