National Provider Identifier Database

DE PERE HOMETOWN PHARMACY LLC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

DE PERE HOMETOWN PHARMACY LLC
510 REDBIRD CIR
DE PERE, WI54115-8785
Phone: 920-351-8155
Fax: 920-632-7671
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Specialty Pharmacy 3336S0011X

* Indicates primary specialty

NPI Profile & details for DE PERE HOMETOWN PHARMACY LLC

NPI Number 1730749672
Legal business name
LBN
DE PERE HOMETOWN PHARMACY LLC
Authorized official DANIEL STRAUSE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/13/2019
Last updated 09/08/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • WI Medicaid: 100090726

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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