Organization
HOMETOWN PHARMACY INC
Active
Other names
Hometown Pharmacy #36
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH LYN DESARMO (EXECUTIVE OPERATIONS ADMINISTRATOR)
(231) 652-7810
Entity
Organization
Contact information
Practice address
130 W UPTON AVE, REED CITY, MI 49677-1130
(231) 832-5521
(231) 832-4541
Mailing address
130 W UPTON AVE, REED CITY, MI 49677-1130
(231) 832-3515
(231) 832-4541
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009895
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174627137
—
MI
01
—
2139047
PK
—
Enumeration date
09/12/2006
Last updated
04/14/2020
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