Organization
MD GROUP LLC
Active
Other names
DEFOREST HOMETOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL STRAUSE (OWNER)
(920) 992-6800
Entity
Organization
Contact information
Practice address
645 S MAIN ST, DEFOREST, WI 53532-1421
(608) 846-4736
(608) 846-6892
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
8255042
WI
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33266300
—
WI
Enumeration date
06/12/2006
Last updated
09/08/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us