Waterloo Hometown Pharmacy

LBN: Waterloo Hometown Pharmacy Llc
Waterloo Hometown Pharmacy is an health care organization with primary practice located at 806 N Monroe St , Waterloo WI 53594-1135. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Waterloo Hometown Pharmacy Llc can be contacted via phone (920) 478-8273, or through Deans, Diane via phone (920) 992-6800.

Contact Information

Primary practice address
806 N Monroe St Waterloo WI 53594-1135
Phone: (920) 478-8273
Fax: (920) 478-8274
Website:
Map and Directions
Authorized official contact:
Name: Deans, Diane
Phone: (920) 992-6800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 9505 Wisconsin
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1831693134
LBN Legal business name Waterloo Hometown Pharmacy Llc
DBA Doing business as Waterloo Hometown Pharmacy
Authorized official Deans, Diane
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2018
Last updated May 4th, 2018 - about 8 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 1831693134 NPPES
Other 2177494 PK

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