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Contact Information

CUBA CITY HOMETOWN PHARMACY, LLC
122 N MAIN ST
CUBA CITY, WI53807-1538
 Phone: 608-744-2440
 Fax: 608-744-2447
 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 CUBA CITY HOMETOWN PHARMACY, LLC

NPI # 1700698156
LBN Legal business name CUBA CITY HOMETOWN PHARMACY, LLC
Authorized official DANIEL STRAUSE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/23/2025
Last updated 09/08/2025 - About 9 months ago
Identifiers
WI Medicaid 100035743
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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