Organization
ASHLAND HOME TOWNE PHARMACY INC
Active
Other names
Towne Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROBERT MAIYER CPA (TREASURER)
(419) 281-4040
Entity
Organization
Contact information
Practice address
849 SMITH RD, ASHLAND, OH 44805-3644
(419) 281-4040
Mailing address
PO BOX 328, 849 SMITH ROAD, ASHLAND, OH 44805-0328
(419) 281-4040
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
HMEL 11084
OH
332BC3200X
Customized Equipment (DME)
HMEL 11084
OH
332BN1400X
Nursing Facility Supplies (DME)
HMEL 11084
OH
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
HMEL 11084
OH
332BX2000X
Oxygen Equipment & Supplies (DME)
HMEL 11084
OH
333600000X
Pharmacy
02-0112600
OH
3336C0003X
Community/Retail Pharmacy
Primary
02-0112600
OH
3336L0003X
Long Term Care Pharmacy
02-0112600
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02-0112600
STATE PHARMACY LICENSE
OH
05
—
3214506
—
OH
01
—
3616034
NABP NUMBER
—
Enumeration date
12/12/2006
Last updated
03/07/2023
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