Organization
EAST PHILLIPS COUNTY HOSPITAL DISTRICT
Active
Organization
EAST PHILLIPS COUNTY HOSPITAL DISTRICT
Active
Other names
MMH Hometown pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HASSELL (CEO)
(970) 854-2241
Entity
Organization
Contact information
Practice address
1001 E JOHNSON ST, HOLYOKE, CO 80734-1854
(970) 854-2222
(970) 854-2221
Mailing address
1001 E JOHNSON ST, HOLYOKE, CO 80734-1854
(970) 854-2222
(970) 854-2221
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PDO.1680000118
CO
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164123
PK
—
Enumeration date
09/13/2016
Last updated
01/04/2023
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