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Contact Information

BAY HOMETOWN PHARMACY LLC
231 N 7TH AVE
STURGEON BAY, WI54235-1707
 Phone: 920-746-4110
 Fax: 920-746-4120
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BAY HOMETOWN PHARMACY LLC

NPI # 1164224192
LBN Legal business name BAY HOMETOWN PHARMACY LLC
Authorized official DANIEL STRAUSE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/27/2025
Last updated 09/09/2025 - About 9 months ago
Identifiers
WI Medicaid 100043437
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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