# HERNANDO'S HOMETOWN PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hernando's Hometown Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649535105
- **Authorized official:** HERNANDO PEREZ (OWNER/PHARMACIST)
- **Authorized official phone:** (856) 691-3784

## Contact information

- **Practice address:** 741 E LANDIS AVE, UNIT B, VINELAND, NJ 08360-8016
- **Practice address phone:** (856) 691-3784
- **Practice address fax:** (856) 691-6777
- **Mailing address:** 741 E LANDIS AVE, UNIT B, VINELAND, NJ 08360-8016
- **Mailing address phone:** (856) 691-3784
- **Mailing address fax:** (856) 691-6777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 28RS00720100 | NJ | Yes |

## Other

- **Enumeration date:** 07/11/2012
- **Last updated:** 07/13/2021