Organization
HOMETOWN PHARMACY INC
Active
Other names
BRADY DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH LYN DESARMO (EXECUTIVE OPERATIONS ADMINISTRATOR)
(231) 652-7810
Entity
Organization
Contact information
Practice address
7835 GRATIOT RD, SAGINAW, MI 48609-5020
(989) 781-2370
(989) 781-0010
Mailing address
7835 GRATIOT RD, SAGINAW, MI 48609-5020
(989) 781-2370
(989) 781-0010
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301006805
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2044241
PK
—
05
—
3497980
—
MI
Enumeration date
04/12/2006
Last updated
04/14/2020
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