Organization
WAUPACA HOMETOWN PHARMACY LLC
Active
Other names
Waupaca Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL STRAUSE (OWNER)
(920) 992-6800
Entity
Organization
Contact information
Practice address
115 N WESTERN AVE UNIT 8, WAUPACA, WI 54981-2201
(715) 256-0400
(715) 256-0402
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
9193-42
WI
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100029964
—
WI
05
—
1004505867
—
WI
Enumeration date
03/19/2013
Last updated
05/08/2026
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