Organization
CALS HOMETOWN PHARMACY LLC
Active
Other names
Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN GERLACH CPHT (OWNER)
(573) 796-3103
Entity
Organization
Contact information
Practice address
408 W BUCHANAN ST, SUITE A, CALIFORNIA, MO 65018-1223
(573) 796-2225
(573) 796-2295
Mailing address
408 W BUCHANAN ST, SUITE A, CALIFORNIA, MO 65018-1223
(573) 796-2225
(573) 796-2295
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2008009397
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048975
PK
—
05
—
606115707
—
MO
Enumeration date
08/31/2006
Last updated
02/20/2017
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