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Organization

NEWTON HOMETOWN PHARMACY LLC

Active
Other names
Newton Hometown Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC DRIGGERS (OWNER/MANAGER)
(620) 654-7330
Entity
Organization

Contact information

Practice address
215 S PINE ST STE 108, NEWTON, KS 67114-3765
(620) 654-7330
(620) 947-2801
Mailing address
PO BOX 188, HILLSBORO, KS 67063-0188
(620) 947-3784
(620) 947-2801

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
3336C0004X
Compounding Pharmacy
3336I0012X
Institutional Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2160859
PK
Enumeration date
06/28/2016
Last updated
08/24/2016
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