Organization
HOMETOWN PHARMACY OF LIMESTONE COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE CANNON PHARMD (OWNER/AO/PHARMACIST)
(256) 233-7070
Entity
Organization
Contact information
Practice address
100 HIGHWAY 31, SUITE H, ATHENS, AL 35611
(256) 232-8448
(256) 232-1302
Mailing address
1406 LINDSAY LN S STE A, ATHENS, AL 35613-2710
(256) 233-7070
(256) 233-8891
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
114259
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157184
—
AL
Enumeration date
12/17/2013
Last updated
10/05/2021
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