Organization
HOMETOWN VILLAGE PHARMACY LLC
Active
Other names
Hometown Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS RUBINO (PHARMACIST/OWNER)
(570) 668-1900
Entity
Organization
Contact information
Practice address
220 CLAREMONT AVE, SUITE #2, TAMAQUA, PA 18252-4460
(570) 668-1900
(570) 668-8812
Mailing address
220 CLAREMONT AVE, SUITE #2, TAMAQUA, PA 18252-4460
(570) 668-1900
(570) 668-8812
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482124
PA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025609390001
—
PA
01
—
2129588
PK
—
Enumeration date
02/28/2011
Last updated
12/28/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us