Organization
HOMETOWN MARKET , INC
Active
Parent organization
HOMETOWN MARKET , INC
Other names
Hometown Pharmacy DME
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOMETOWN MARKET , INC
Authorized official
CHRISTOPHER JARVENE SHACKELFORD (PHARMACY DIRECTOR)
(662) 672-0191
Entity
Organization
Contact information
Practice address
1906 S GLOSTER ST, TUPELO, MS 38801-6543
(662) 672-0191
Mailing address
805 SHELL STREET, PHARMACY, TUPELO, MS 38801
(662) 672-0191
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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