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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
About Stedi
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