Organization
HOMETOWN DRUG LLC
Active
Other names
HOMETOWN DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS RUBY B.S. PHARMACY (OWNER)
(814) 265-0050
Entity
Organization
Contact information
Practice address
411 MAIN ST, BROCKWAY, PA 15824-1324
(814) 265-0060
(814) 265-0605
Mailing address
411 MAIN ST, BROCKWAY, PA 15824-1324
(814) 265-0060
(814) 265-0605
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481596
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3986354
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/06/2006
Last updated
04/12/2011
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