Organization
PALESTINE PHARMACY LLC
Active
Other names
Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE LAYNE VANNOY RPH (OWNER MANAGER)
(903) 729-3100
Entity
Organization
Contact information
Practice address
101 MEDICAL DR, PALESTINE, TX 75801-4781
(903) 729-3100
(903) 729-3104
Mailing address
101 MEDICAL DR, PALESTINE, TX 75801-4781
(903) 729-3100
(903) 729-3104
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4536655
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145901
—
TX
01
—
25988
STATE BOARD OF PHARMACY
TX
01
—
4536655
NABP(NCPDP)
TX
01
—
M0158082
DPS
TX
Enumeration date
12/07/2006
Last updated
10/24/2025
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