Organization
HOMETOWN PHARMACY INC
Active
Organization
HOMETOWN PHARMACY INC
Active
Other names
Hometown Pharmacy #49 - Warsaw
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH LYN DESARMO PHARM D., MBA (VP OF ADMINISTRATION)
(231) 861-6900
Entity
Organization
Contact information
Practice address
1775 E CENTER ST, WARSAW, IN 46580-3603
(574) 267-7194
(574) 267-1599
Mailing address
4171 S OCEANA DR, NEW ERA, MI 49446-9781
(231) 861-6900
(231) 861-7177
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60006450A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151378
PK
—
Enumeration date
09/12/2006
Last updated
12/23/2024
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