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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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