Organization
KIOWA PHARMACY, INC.
Active
Other names
HOMETOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA S HINDSLEY (SECRETARY)
(903) 893-0677
Entity
Organization
Contact information
Practice address
1201 OLIVE ST, SUITE 104, GAINESVILLE, TX 76240
(940) 668-7384
Mailing address
PO BOX 2407, SHERMAN, TX 75091-2407
(903) 893-0677
(903) 893-3639
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
13583
TX
333600000X
Pharmacy
13583
TX
3336C0003X
Community/Retail Pharmacy
Primary
13583
TX
3336C0004X
Compounding Pharmacy
13583
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0677445-03
—
TX
05
—
143598
—
TX
Enumeration date
12/16/2005
Last updated
07/13/2010
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