# MD GROUP LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** DeForest Hometown Pharmacy LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922920842
- **Authorized official:** DIANE DEANS (CONTRACTING MANAGER)
- **Authorized official phone:** (920) 992-6800

## Contact information

- **Practice address:** 645 S MAIN ST, DEFOREST, WI 53532-1421
- **Practice address phone:** (608) 846-4736
- **Practice address fax:** (608) 846-6892
- **Mailing address:** 333 LOWVILLE RD, RIO, WI 53960-9437
- **Mailing address phone:** (920) 992-6800
- **Mailing address fax:** (920) 614-6100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/30/2026
- **Last updated:** 07/30/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33266300 | — | WI |