Organization · Type 2 NPI

Beaver Dam Hometown Pharmacy LLC

Community/Retail Pharmacy · Beaver Dam, WI

NPI number 1588036826 Active

Practice location

609 N Spring St
Beaver Dam, WI 53916-2040

Call (920) 356-1500 Map

Fax (920) 356-1510

Mailing address

333 Lowville Rd
Rio, WI 53960-9437

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	9411-42 (WI)
Community/Retail Pharmacy Primary	3336C0003X	None listed
Specialty Pharmacy	3336S0011X	None listed

Community/Retail Pharmacy: 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 …

8 other providers at this address

Other community/retail pharmacy providers in Beaver Dam

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NPI record

NPI: 1588036826
Entity type: Organization (Type 2)
Issued: Oct 27, 2015
Last updated: Sep 8, 2025
Status: Active

Other names

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Beaver Dam Hometown Pharmacy · doing business as
Beaver Dam Hometown Pharmacy · doing business as

Authorized official

Daniel Strause
Owner
(920) 992-6800

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1588036826

Beaver Dam Hometown Pharmacy LLC's National Provider Identifier is 1588036826, issued on Oct 27, 2015. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Beaver Dam, WI. The record was last updated on Sep 8, 2025.