Beaver Dam Hometown Pharmacy is an authorized DME supplier for medicare equipments and products.
Beaver Dam Hometown Pharmacy is a Pharmacy in Beaver Dam, Wisconsin. This pharmacy is owned and operated by Beaver Dam Hometown Pharmacy Llc. It is located at 609 N Spring St, Beaver Dam and it's customer support contact number is 920-356-1500. The authorized person of Beaver Dam Hometown Pharmacy is Daniel Strause who is Ceo of the pharmacy and his contact number is 920-992-6800. Active license number of Beaver Dam Hometown Pharmacy is 9411-42 for Pharmacy in Wisconsin. Beaver Dam Hometown Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Beaver Dam Hometown Pharmacy is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Beaver Dam Hometown Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Beaver Dam Hometown Pharmacy
Type:
Pharmacy
Location:
609 N Spring St, Beaver Dam, Wisconsin, 53916-2040
Phone:
920-356-1500
Fax:
920-356-1510
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Daniel Strause
Position:
Ceo
Contact Number:
920-992-6800
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1588036826
NPI Enumeration Date:
27 Oct, 2015
NPI Last Update On:
04 May, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Beaver Dam Hometown Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
9411-42
Wisconsin
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Community/Retail Pharmacy
Secondary
Specialty Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100050583
Medicaid
Wisconsin
2155039
Other
Pk
Medicare Enrollment:
Beaver Dam Hometown Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
6002117728
O20151222000518
Beaver Dam Hometown Pharmacy Llc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
333 Lowville Rd, Rio, Wisconsin
Zip:
53960-9437
Phone Number:
920-992-6800
Fax Number:
920-992-6801
Patients can reach Beaver Dam Hometown Pharmacy at 609 N Spring St, Beaver Dam, Wisconsin or can call on customer care at 920-356-1500.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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