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Organization

ALGOMA HOMETOWN PHARMACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL STRAUSE (OWNER)
(920) 992-6800
Entity
Organization

Contact information

Practice address
801 JEFFERSON ST, ALGOMA, WI 54201-1733
(920) 487-2887
(920) 487-3139
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
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100072408
WI
Enumeration date
09/22/2017
Last updated
09/08/2025
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