Organization
HOMETOWN LTC PHARMACY INC
Active
Other names
Hometown LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ABRAHAM (PRESIDENT)
(805) 928-2200
Entity
Organization
Contact information
Practice address
1450 W MCCOY LN STE B, SANTA MARIA, CA 93455-1059
(805) 928-2200
(805) 928-6200
Mailing address
1450 W MCCOY LN STE B, SANTA MARIA, CA 93455-1059
(805) 928-2200
(805) 928-6200
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY51279
CA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598108847
—
CA
01
—
2139957
PK
—
Enumeration date
04/16/2013
Last updated
09/19/2025
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