Organization
HOME TOWN DRUG STORES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALETHA ELLER PHARMD (CEO)
(336) 246-9990
Entity
Organization
Contact information
Practice address
423 E 2ND ST, WEST JEFFERSON, NC 28694-9757
(336) 246-9990
(336) 246-6069
Mailing address
423 E 2ND ST, WEST JEFFERSON, NC 28694-9757
(336) 246-9990
(336) 246-6069
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
11379
NC
3336C0003X
Community/Retail Pharmacy
Primary
11379
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00552326
—
NC
01
—
2137653
PK
—
Enumeration date
10/03/2006
Last updated
03/27/2018
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