Organization
HOMETOWN PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MORGAN RPH (CO OWNER)
(606) 672-3084
Entity
Organization
Contact information
Practice address
130 HWY 80, HYDEN, KY 41749-1746
(606) 672-3084
(606) 672-5526
Mailing address
PO BOX 1746, HYDEN, KY 41749-1746
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
P02413
KY
3336C0003X
Community/Retail Pharmacy
Primary
PO2413
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821645
OTHER ID NUMBER
—
05
—
54027479
—
KY
Enumeration date
09/27/2006
Last updated
05/10/2012
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