# HOMETOWN PHARMACY LLC

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

## Provider details

- **NPI number:** 1508694811
- **Authorized official:** LISA W SMITH (OWNER)
- **Authorized official phone:** (434) 352-3784

## Contact information

- **Practice address:** 196 AMELON SQ, MADISON HEIGHTS, VA 24572-5990
- **Practice address phone:** (434) 929-1000
- **Practice address fax:** (494) 929-1009
- **Mailing address:** 196 AMELON SQ, MADISON HEIGHTS, VA 24572-5990
- **Mailing address phone:** (434) 929-1000
- **Mailing address fax:** (494) 929-1009

## Taxonomy

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

## Other

- **Enumeration date:** 07/26/2024
- **Last updated:** 07/26/2024