Organization
DORMONTS HOMETOWN PHARMACY INC
Active
Other names
YOUR HOMETOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BYRON MOON (PRESIDENT)
(814) 860-6338
Entity
Organization
Contact information
Practice address
2897 W LIBERTY AVE, PITTSBURGH, PA 15216-2619
(412) 306-9950
(412) 603-9954
Mailing address
2897 W LIBERTY AVE, PITTSBURGH, PA 15216-2619
(412) 306-9950
(412) 603-9954
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482110
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2129976
PK
—
Enumeration date
04/13/2011
Last updated
03/08/2016
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