Organization
HOMETOWN PHARMACY INC
Active
Organization
HOMETOWN PHARMACY INC
Active
Other names
HomeTown Pharmacy #64 - Sixth Street
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH LYN DESARMO PHARM D., MBA (VP OF FINANCE)
(231) 861-6902
Entity
Organization
Contact information
Practice address
1020 SIXTH ST, TRAVERSE CITY, MI 49684-2302
(231) 946-4570
(231) 946-2920
Mailing address
4171 S OCEANA DR, NEW ERA, MI 49446-9781
(231) 861-6900
(231) 861-7177
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730291725
—
MI
Enumeration date
08/31/2006
Last updated
03/19/2025
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