Organization
HERNANDO'S HOMETOWN PHARMACY LLC
Active
Other names
Hernando's Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HERNANDO PEREZ (OWNER/PHARMACIST)
(856) 691-3784
Entity
Organization
Contact information
Practice address
741 E LANDIS AVE, UNIT B, VINELAND, NJ 08360-8016
(856) 691-3784
(856) 691-6777
Mailing address
741 E LANDIS AVE, UNIT B, VINELAND, NJ 08360-8016
(856) 691-3784
(856) 691-6777
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00720100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135966
PK
—
Enumeration date
07/11/2012
Last updated
07/13/2021
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