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Peshtigo Hometown Pharmacy Llc
Compounding Pharmacy in Peshtigo, Wisconsin
NPI 1801262662

Peshtigo Hometown Pharmacy Llc is a Compounding Pharmacy based in Rio, WI and is specialized in Compounding Pharmacy. Peshtigo Hometown Pharmacy Llc practices in Peshtigo, WI. The NPI Number for Peshtigo Hometown Pharmacy Llc is 1801262662 and holds a License No. (Wisconsin).

The current practice location address for Peshtigo Hometown Pharmacy Llc is 960 Frontage Rd, Peshtigo, WI and can be reached out via phone at 715-582-0898 and via fax at 715-582-0897.

Location: 960 Frontage Rd, Peshtigo, WI, 53960
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801262662
Provider Name
Peshtigo Hometown Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
960 Frontage Rd, Peshtigo, WI, 53960
Phone Number
715-582-0898
Fax Number
715-582-0897
Provider Enumeration Date
08/17/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2153606 01 PK
100048562 05 WI
institution
Provider Business Practice Location Address Details
Address
960 Frontage Rd
City
Peshtigo
State
Wisconsin
Zip
54157-1702
Phone Number
715-582-0898
Fax Number
715-582-0897
person
Provider Business Mailing Address Details
Address
960 Frontage Rd
City
Peshtigo
State
Wisconsin
Zip
54157-1702
Phone Number
715-582-0898
Fax Number
715-582-0897
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
9341-42 (Wisconsin)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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