# HOME TOWN PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOMETOWN PHARMACY INC
- **Other names:** HomeTown Pharmacy \#48 - Mishawaka
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275173841
- **Legal business name:** HOMETOWN PHARMACY INC
- **Authorized official:** REBEKAH LYN DESARMO PHARM D., MBA (VP OF FINANCE)
- **Authorized official phone:** (231) 861-6902

## Contact information

- **Practice address:** 606 N MAIN ST, MISHAWAKA, IN 46545-6620
- **Practice address phone:** (574) 255-2988
- **Practice address fax:** (574) 258-5945
- **Mailing address:** 4171 S OCEANA DR, NEW ERA, MI 49446-9781
- **Mailing address phone:** (231) 861-6900
- **Mailing address fax:** (231) 861-7177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/13/2020
- **Last updated:** 06/14/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 60006398A | BOARD OF PHARMACY | IN |
| 01 | — | 60006398B | CONTROLLED SUBSTANCE | IN |