Organization
HIGHWAY 20 HOMETOWN PHARMACY LLC
Active
Other names
HomeTown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MALONEY (DIRECTOR OF OPERATIONS)
(360) 503-1676
Entity
Organization
Contact information
Practice address
640 STATE ROUTE 20 UNIT A, SEDRO WOOLLEY, WA 98284-4315
(605) 031-6763
(360) 503-1677
Mailing address
640 STATE ROUTE 20 UNIT A, SEDRO WOOLLEY, WA 98284-4315
(360) 503-1676
(360) 503-1677
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHAR.CF.60552688
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155051
PK
—
Enumeration date
05/14/2015
Last updated
10/29/2018
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