Organization
HOMETOWN PHARMACY INC
Active
Organization
HOMETOWN PHARMACY INC
Active
Other names
HomeTown Pharmacy #67 - Suttons Bay
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH LYN DESARMO PHARM D., MBA (VP OF FINANCE)
(231) 861-6902
Entity
Organization
Contact information
Practice address
93 W FOURTH ST STE A, SUTTONS BAY, MI 49682-8408
(231) 271-6111
(231) 271-0984
Mailing address
4171 S OCEANA DR, NEW ERA, MI 49446-9781
(231) 861-6900
(231) 861-7177
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301006029
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811904345
—
MI
Enumeration date
08/01/2006
Last updated
03/19/2025
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