Organization
ELEMEL INC
Active
Other names
The Hometown Pharmacy Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD T MCDERMOTT (SVP OPERATIONS)
(330) 318-3926
Entity
Organization
Contact information
Practice address
2016 W STATE ST, NEW CASTLE, PA 16101-1258
(724) 658-9670
(724) 658-9675
Mailing address
8571 FOXWOOD CT STE A, POLAND, OH 44514-4313
(330) 318-3926
(330) 318-3927
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103278495-0001
—
PA
Enumeration date
07/25/2019
Last updated
08/04/2022
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