Organization
INGRAM PHARMACY PLLC DBA HOMETOWN PHARMACY
Active
Other names
Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL INGRAM (PHARMACIST/OWNER)
(859) 588-2932
Entity
Organization
Contact information
Practice address
1502 OXFORD DR STE 150, SUITE 150, GEORGETOWN, KY 40324-8095
(502) 863-3784
(502) 863-3789
Mailing address
1134 US HIGHWAY 27 S, CYNTHIANA, KY 41031-4177
(859) 234-5600
(859) 234-5606
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
P07328
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831076
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
7100067730
—
KY
Enumeration date
02/24/2009
Last updated
03/19/2013
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