Waterloo Hometown Pharmacy LLC

NPI #1831693134 in Waterloo, Wisconsin

Provider Information

NPI Number
1831693134
Entity Type
Organization
Organization Name
Waterloo Hometown Pharmacy LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 21, 2018
Last Updated
May 4, 2018

Practice Location

Address
806 N MONROE ST
ZIP Code
53594-1135
Phone
(920) 478-8273

Authorized Official

Name
DIANE DEANS
Title
CONTRACTING
Phone
(920) 992-6800

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Specialty PharmacySpecialty Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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