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Organization
SUN PRAIRIE HOMETOWN PHARMACY LLC
Active
Organization
SUN PRAIRIE HOMETOWN PHARMACY LLC
Active
Other names
Sun Prairie Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL STRAUSE (OWNER)
(920) 992-6800
Entity
Organization
Contact information
Practice address
13 N BIRD ST, SUN PRAIRIE, WI 53590-2878
(608) 825-7530
(608) 825-7532
Mailing address
333 LOWVILLE RD, RIO, WI 53960-9437
(920) 992-6800
(920) 614-6100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
9192-42
WI
3336C0004X
Compounding Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100028581
—
WI
Enumeration date
03/04/2013
Last updated
09/09/2025
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