Organization
HOMETOWN BUSINESSES INC.
Active
Other names
Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE I. KLEINHESSELINK RPH (OWNER/PRESIDENT)
(712) 737-4919
Entity
Organization
Contact information
Practice address
512 8TH ST SE, ORANGE CITY, IA 51041
(712) 737-4919
(712) 737-4969
Mailing address
512 8TH ST SE, ORANGE CITY, IA 51041
(712) 737-4919
(712) 737-4969
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
666
IA
3336C0003X
Community/Retail Pharmacy
Primary
666
IA
3336C0004X
Compounding Pharmacy
666
IA
3336L0003X
Long Term Care Pharmacy
666
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081679
—
IA
05
—
1356455414
—
IA
01
—
1607019
NCPDP
IA
01
—
1607019
NABP#
—
01
—
666
PHARMACY LICENSE
IA
Enumeration date
08/18/2006
Last updated
03/07/2023
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