Organization
ST HENRY HOMETOWN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PATTON (OWNER)
(419) 692-3784
Entity
Organization
Contact information
Practice address
451 STACHLER DR, ST HENRY, OH 45883
(419) 678-7901
(419) 678-1413
Mailing address
660 ELIDA AVE, DELPHOS, OH 45833-1735
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
OH
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2594705
—
OH
01
—
3673349
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
09/11/2025
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