Organization
HOMETOWN PHARMACY OF MEDINA LLC
Active
Parent organization
HOMETOWN PHARMACY OF MEDINA LLC
Other names
HOMETOWN PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOMETOWN PHARMACY OF MEDINA LLC
Authorized official
J MARK BOWERS (PRESIDENT)
(731) 783-0777
Entity
Organization
Contact information
Practice address
609 HWY 45 BYPASS, MEDINA, TN 38355
(731) 783-0777
(731) 783-3005
Mailing address
PO BOX 310, MEDINA, TN 38355
(731) 783-0777
(731) 783-3005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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