Organization
HOMETOWN PHARMACY LLC
Active
Other names
Glenwood South Pharmacy and Market
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHI TRUNG VU HUYNH (OWNER-MANAGER)
(919) 856-9502
Entity
Organization
Contact information
Practice address
401 GLENWOOD AVE, STE 101, RALEIGH, NC 27603-1219
(919) 856-9502
(919) 615-0949
Mailing address
401 GLENWOOD AVE, STE 101, RALEIGH, NC 27603-1219
(919) 856-9502
(919) 615-0949
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12951
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982050670
—
NC
01
—
2160542
PK
—
Enumeration date
05/11/2016
Last updated
01/19/2024
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