Organization
LODI HOMETOWN PHARMACY LLC
Active
Other names
LODI HOMETOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL STRAUSE (OWNER)
(920) 992-6800
Entity
Organization
Contact information
Practice address
801 N MAIN ST STE A, LODI, WI 53555-1279
(608) 592-0662
(608) 592-0665
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
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
9429-42
WI
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100063466
—
WI
Enumeration date
10/10/2016
Last updated
09/09/2025
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