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General NPI Number Information
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NPI Number | 1053205633
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Entity Type | Organization
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Legal Business Name | SAWYER STREET HOMETOWN PHARMACY LLC
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 321 N SAWYER ST
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City | OSHKOSH
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State | WI
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Zip | 54902-4252
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Country | US
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Telephone | 920-426-0763
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Fax | 920-426-0784
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Provider Business Mailing Address
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Address Line | 333 LOWVILLE RD
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City | RIO
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State | WI
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Zip | 53960-9437
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Country | US
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Telephone | 920-992-6800
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Fax | 920-614-6100
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL STRAUSE
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Credential |
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Telephone | 920-992-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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