Organization
HOMETOWN PHARMACY LLC
Active
Other names
Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA STEELE (PHARMACIST/OWNER/MANAGER)
(225) 294-6021
Entity
Organization
Contact information
Practice address
27118 HIGHWAY 42, SPRINGFIELD, LA 70462-7979
(225) 294-6021
(225) 294-6026
Mailing address
27118 HIGHWAY 42, SPRINGFIELD, LA 70462-7979
(225) 294-6021
(225) 294-6026
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY006265-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125694
PK
—
05
—
2200151
—
LA
Enumeration date
06/14/2010
Last updated
01/13/2017
Update your record
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