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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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