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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