# HOMETOWN PHARMACY OF LIMESTONE COUNTY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497176564
- **Authorized official:** MONIQUE CANNON PHARMD (OWNER/AO/PHARMACIST)
- **Authorized official phone:** (256) 233-7070

## Contact information

- **Practice address:** 100 HIGHWAY 31, SUITE H, ATHENS, AL 35611
- **Practice address phone:** (256) 232-8448
- **Practice address fax:** (256) 232-1302
- **Mailing address:** 1406 LINDSAY LN S STE A, ATHENS, AL 35613-2710
- **Mailing address phone:** (256) 233-7070
- **Mailing address fax:** (256) 233-8891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 114259 | AL | Yes |

## Other

- **Enumeration date:** 12/17/2013
- **Last updated:** 10/05/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 157184 | — | AL |