Organization
OUR HOME PHARMACY INC
Active
Other names
Our Home Pharmacy, INC
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD HYATT (OWNER/PRESIDENT/PIC/AO)
(334) 887-8780
Entity
Organization
Contact information
Practice address
2154 MOORES MILL RD, AUBURN, AL 36830-8447
(334) 887-8780
(334) 887-8786
Mailing address
2320 MOORES MILL RD STE 100, SUITE 100, AUBURN, AL 36830-8403
(334) 887-8780
(334) 887-8786
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
113395
AL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1231350
—
AL
01
—
2126111
PK
—
Enumeration date
07/23/2010
Last updated
12/19/2022
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