Plover Hometown Pharmacy

LBN: Plover Hometown Pharmacy Llc
Plover Hometown Pharmacy is an health care organization with primary practice located at 1600 American Dr , Plover WI 54467-3157. 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. Plover Hometown Pharmacy Llc can be contacted via phone (715) 544-6272, or through Stocks, Haley via phone (920) 992-6800.

Contact Information

Primary practice address
1600 American Dr Plover WI 54467-3157
Phone: (715) 544-6272
Fax: (715) 544-6045
Website:
Map and Directions
Authorized official contact:
Name: Stocks, Haley CPHT
Phone: (920) 992-6800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1457919581
LBN Legal business name Plover Hometown Pharmacy Llc
DBA Doing business as Plover Hometown Pharmacy
Authorized official Stocks, Haley CPHT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2019
Last updated May 24th, 2022 - about 4 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 1457919581 NPPES
Wisconsin MEDICAID 100092338

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