Organization
HOMETOWN PHARMACY MANAGEMENT LLC
Active
Other names
Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE M COFFMAN PHARM.D. (OWNER/PHARMACIST)
(417) 926-9655
Entity
Organization
Contact information
Practice address
110 LEROUX STREET, DONIPHAN, MO 63935-0000
(573) 996-4000
(573) 996-3239
Mailing address
110 LEROUX STREET, DONIPHAN, MO 63935-0000
(573) 996-4000
(573) 996-3239
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606486504
—
MO
Enumeration date
10/22/2010
Last updated
11/27/2024
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