Organization
HOMETOWN PHARMACY INC
Active
Parent organization
HOME TOWN PHARMACY INC
Other names
Leppink's Pharmacy Inc, HomeTown Pharmacy #59 - Howard City
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOME TOWN PHARMACY INC
Authorized official
REBEKAH LYN DESARMO PHARM D., MBA (EXECUTIVE OPERATIONS ADMINSTRATOR)
(231) 652-7810
Entity
Organization
Contact information
Practice address
730 WEST SHAW, HOWARD CITY, MI 49329
(231) 937-5282
(231) 937-7472
Mailing address
60 E 82ND STREET, PO BOX 884, NEWAYGO, MI 49337
(231) 652-7810
(231) 652-7876
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301005778
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2350534
NCPDP NUMBER
—
01
—
5301005778
BOARD OF PHARMACY
MI
Enumeration date
10/25/2006
Last updated
04/10/2020
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