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Contact Information

OREGON HOMETOWN PHARMACY LLC
815 N MAIN ST
OREGON, WI53575
 Phone: 608-835-3191
 Fax: 608-835-5467
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for OREGON HOMETOWN PHARMACY LLC

NPI # 1053651331
LBN Legal business name OREGON HOMETOWN PHARMACY LLC
Authorized official HALEY STOCKS - (CONTRACTING SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/22/2013
Last updated 04/07/2022 - About 4 years ago
Identifiers
WI License # 9189-42
WI Medicaid 100029682
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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