Organization
HOME TOWN PHARMACY INC
Active
Parent organization
HOME TOWN PHARMACY INC
Other names
Stockbridge Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOME TOWN PHARMACY INC
Authorized official
REBEKAH LYN DESARMO PHARM D., MBA (EXECUTIVE OPERATIONS ADMINISTRATOR)
(231) 652-7810
Entity
Organization
Contact information
Practice address
110 S CLINTON ST, STOCKBRIDGE, MI 49285-9148
(517) 851-7575
Mailing address
PO BOX 884, NEWAYGO, MI 49337-0884
(231) 652-7810
(231) 652-7876
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5301007836
BOARD OF PHARMACY LICENSE
MI
01
—
5315016511
CONTROLLED SUBSTANCE
MI
Enumeration date
01/13/2020
Last updated
01/13/2020
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