Organization
BREWSTERS HOMETOWN PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOPE BREWSTER (OWNER/PHARMACIST IN CHARGE/AO)
(740) 835-1619
Entity
Organization
Contact information
Practice address
104 THORNTON DR, PIKETON, OH 45661
(740) 648-3020
(740) 648-3016
Mailing address
104 THORNTON DR, PIKETON, OH 45661-8035
(740) 648-3020
(740) 648-3016
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022878450
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177376
PK
—
Enumeration date
04/25/2018
Last updated
07/02/2018
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