Organization
HOMETOWN PHARMACY INC
Active
Other names
HOMETOWN PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CORBO RPH (PRES)
(518) 942-3313
Entity
Organization
Contact information
Practice address
3208 PLANK RD, MINEVILLE, NY 12956-0337
(518) 942-3313
(518) 942-3035
Mailing address
PO BOX 1750, MECHANICSVILLE, VA 23116-0005
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
017277
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00428937
—
NY
01
—
3349924
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/02/2006
Last updated
08/28/2009
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