Organization
LUNA'S HOMETOWN PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LUNA RPH (MANAGER)
(830) 773-5334
Entity
Organization
Contact information
Practice address
400 E MAIN ST, EAGLE PASS, TX 78852-4517
(830) 773-5334
Mailing address
400 E MAIN ST, EAGLE PASS, TX 78852-4517
(830) 773-5334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
34092
TX
332B00000X
Durable Medical Equipment & Medical Supplies
20529
TX
3336C0003X
Community/Retail Pharmacy
Primary
20529
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145006
—
TX
01
—
20529
STATE LICENSE NUMBER
TX
01
—
4518811
NCPDP
TX
01
—
YO117139
DPS-DEPARTMENT OF PUBLIC
TX
Enumeration date
08/31/2006
Last updated
09/11/2025
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