Provider Demographics
NPI:1407938335
Name:HEALTH CARE PHARMACIES, INC
Entity Type:Organization
Organization Name:HEALTH CARE PHARMACIES, INC
Other - Org Name:LAND O'LAKES HOMETOWN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RPH/MGR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:IX
Authorized Official - Credentials:RPH
Authorized Official - Phone:715-547-3788
Mailing Address - Street 1:333 LOWVILLE RD
Mailing Address - Street 2:
Mailing Address - City:RIO
Mailing Address - State:WI
Mailing Address - Zip Code:53960-9437
Mailing Address - Country:US
Mailing Address - Phone:920-992-6800
Mailing Address - Fax:920-992-6801
Practice Address - Street 1:4348A HWY B
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:WI
Practice Address - Zip Code:54540
Practice Address - Country:US
Practice Address - Phone:715-547-3788
Practice Address - Fax:715-547-6901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336S0011X
WI8343-0423336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI33164200Medicaid
MI2623150Medicaid
MI2623150Medicaid