Organization
HOMETOWN WELLNESS PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LUNA (OFFICER)
(830) 352-3461
Entity
Organization
Contact information
Practice address
1975 N VETERANS BLVD STE 3A, EAGLE PASS, TX 78852-4456
(830) 213-8485
Mailing address
1975 N VETERANS BLVD STE 3A, EAGLE PASS, TX 78852-4456
(830) 213-8485
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34017
TEXAS PHARMACY LICENSE
TX
Enumeration date
10/15/2021
Last updated
10/20/2021
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