Organization
HOMETOWN OLD COUNTRY PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SATVIK THAKKAR (MANAGEMENT MEMBER)
(727) 816-9770
Entity
Organization
Contact information
Practice address
8534 RIDGE ROAD, NEW PORT RICKEY, FL 34654
(727) 816-9770
(727) 817-1310
Mailing address
8534 RIDGE ROAD, NEW PORT RICKEY, FL 34654
(727) 816-9770
(727) 817-1310
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002228400
—
FL
05
—
120435900
—
FL
Enumeration date
09/15/2005
Last updated
03/06/2024
Update your record
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