Peshtigo Hometown Pharmacy Llc
Community/Retail Pharmacy
960 Frontage Rd, Peshtigo
Wisconsin, 54157-1702
715-582-0898 715-582-0897
Peshtigo Hometown Pharmacy Llc is a Community/Retail Pharmacy in Peshtigo, Wisconsin. It is located at 960 Frontage Rd, Peshtigo and it's customer support contact number is 715-582-0898. The authorized person of Peshtigo Hometown Pharmacy Llc is Daniel Strause who is Owner of the pharmacy and his contact number is 920-992-6800. Active license number of Peshtigo Hometown Pharmacy Llc is 9341-42 for Community/Retail Pharmacy in Wisconsin. Peshtigo Hometown Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Peshtigo Hometown Pharmacy Llc is 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.
Pharmacy Details:
Peshtigo Hometown Pharmacy Llc 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: | Peshtigo Hometown Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 960 Frontage Rd, Peshtigo,
Wisconsin, 54157-1702 |
| Phone: | 715-582-0898 |
| Fax: | 715-582-0897 |
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: | Owner |
| 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: | 1801262662 |
| NPI Enumeration Date: | 17 Aug, 2015 |
| NPI Last Update On: | 09 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Peshtigo Hometown Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 9341-42 | Wisconsin | Primary | |
| Compounding Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| 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 |
| 100304952 | Medicaid | Wisconsin | |
Medicare Enrollment:
Peshtigo Hometown Pharmacy Llc 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 |
| 5496056129 | O20151222000772 | Peshtigo Hometown Pharmacy Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 5496056129 | O20170213000407 | Peshtigo Hometown Pharmacy Llc | DME SUPPLIER - PHARMACY |
Products Available:
Peshtigo Hometown Pharmacy Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Diabetic Shoes & Inserts: Prefabricated |
| • Nebulizer Equipment & Supplies | • Orthoses: Off-the-shelf |
| • Ostomy Supplies | • Surgical Dressings |
| • Urological Supplies | • Walkers |
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: | 920-614-6100 |
Patients can reach Peshtigo Hometown Pharmacy Llc at
960 Frontage Rd, Peshtigo, Wisconsin or can
call on customer care at 715-582-0898.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.