Organization
HOMETOWN PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH LYN DESARMO PHARM D., MBA (VP OF FINANCE)
(231) 861-6902
Entity
Organization
Contact information
Practice address
4171 S OCEANA DR, NEW ERA, MI 49446-9781
(231) 861-6946
(231) 861-7177
Mailing address
4171 S OCEANA DR, NEW ERA, MI 49446-9781
(231) 861-6900
(231) 861-7177
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
09/30/2019
Last updated
12/09/2024
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