# YOUR HOMETOWN PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Core LTC Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548568769
- **Authorized official:** KODY HALL (CEO/OWNER)
- **Authorized official phone:** (402) 991-7283

## Contact information

- **Practice address:** 7428 EASTPORT PKWY STE 101, LA VISTA, NE 68128-2348
- **Practice address phone:** (402) 991-7283
- **Practice address fax:** (402) 991-7281
- **Mailing address:** 7428 EASTPORT PKWY STE 1, LA VISTA, NE 68128-2346
- **Mailing address phone:** (402) 991-7283
- **Mailing address fax:** (402) 991-7281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 2927 | NE | — |
| 3336L0003X | Long Term Care Pharmacy | 4190 | IA | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/11/2011
- **Last updated:** 03/03/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025962200 | — | NE |
| 01 | — | 2129273 | PK | — |