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Organization

DESKINS HOMETOWN PHARMACY, INC.

Active
Other names
HomeTown Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HILARY BETH DESKINS PHARMD (PHARMACIST IN CHARGE)
(720) 352-4721
Entity
Organization

Contact information

Practice address
6912 RIVERSIDE DRIVE SUITE 4, RAVEN, VA 24639
(276) 498-4663
Mailing address
6912 RIVERSIDE DRIVE SUITE 4, RAVEN, VA 24639
(276) 498-4663

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2021130902
VA
Enumeration date
03/16/2021
Last updated
06/29/2021
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