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Organization
HOMETOWN LTC PHARMACY INC
Active
Organization
HOMETOWN LTC PHARMACY INC
Active
Other names
Hometown LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ABRAHAM (PRESIDENT)
(805) 928-2200
Entity
Organization
Contact information
Practice address
1450 W MCCOY LN STE B, SANTA MARIA, CA 93455-1059
(805) 928-2200
(805) 928-6200
Mailing address
1450 W MCCOY LN STE B, SANTA MARIA, CA 93455-1059
(805) 928-2200
(805) 928-6200
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
PHY51279
CA
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598108847
—
CA
01
—
2139957
PK
—
Enumeration date
04/16/2013
Last updated
09/19/2025
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