Organization
MONROE HOMETOWN PHARMACY WEST LLC
Active
Other names
Monroe Hometown Pharmacy West LTC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL STRAUSE (CONTRACTING MANAGER)
(920) 992-6800
Entity
Organization
Contact information
Practice address
418 W 10 1/2 ST, MONROE, WI 53566-1378
(608) 426-6540
(608) 426-6561
Mailing address
333 LOWVILLE RD, RIO, WI 53960-9437
(920) 992-6800
(920) 614-6100
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100076153
—
WI
Enumeration date
05/03/2024
Last updated
09/09/2025
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