| NPI | 1083011530 |
|---|---|
| Doing Business As | BAY HOMETOWN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DANIEL STRAUSE Owner 920-992-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 9290-42) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2014-11-28 |
| Last Update Date | 2025-09-05 |