Organization
HOMETOWN PHARMACY INC
Active
Other names
OCEANA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH LYN DESARMO (EXECUTIVE OPERATIONS ADMINISTRATOR)
(231) 652-7810
Entity
Organization
Contact information
Practice address
819 S STATE ST, HART, MI 49420-1236
(231) 873-2540
(231) 873-0108
Mailing address
819 S STATE ST, HART, MI 49420-1236
(231) 873-2540
(231) 873-0108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301006607
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2043984
PK
—
05
—
4848178
—
MI
Enumeration date
04/13/2006
Last updated
04/14/2020
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