Organization
HALLETTSVILLE PHARMACY LLC
Active
Other names
Your Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA H GRAHMANN PHARMD (PRESIDENT / OWNER)
(361) 798-5010
Entity
Organization
Contact information
Practice address
304 N TEXANA ST, HALLETTSVILLE, TX 77964-2322
(361) 798-5010
(361) 798-1616
Mailing address
304 N TEXANA ST, HALLETTSVILLE, TX 77964-2322
(361) 798-5010
(361) 798-1616
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25318
TX
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145732
—
TX
01
—
2099676
PK
—
Enumeration date
11/15/2006
Last updated
07/03/2025
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