Organization
YOUR HOMETOWN PHARMACY INC
Active
Organization
YOUR HOMETOWN PHARMACY INC
Active
Other names
YOUR HOMETOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BYRON MOON (OWNER)
(814) 860-6338
Entity
Organization
Contact information
Practice address
3106 BUFFALO RD, ERIE, PA 16510-1772
(814) 898-2085
(814) 898-2086
Mailing address
3106 BUFFALO RD, ERIE, PA 16510-1772
(814) 898-2085
(814) 898-2086
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481777
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2082393
PK
—
Enumeration date
01/22/2008
Last updated
02/17/2016
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