Organization
HOMETOWN PHARMACY INC
Active
Other names
Hometown Pharmacy #42 - Honor
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH LYN DESARMO (EXECUTIVE OPERATIONS ADMINISTRATOR)
(231) 652-7810
Entity
Organization
Contact information
Practice address
10587 MAIN ST, HONOR, MI 49640-9761
(231) 325-2735
(231) 325-2737
Mailing address
10587 MAIN ST, HONOR, MI 49640-9761
(231) 325-2735
(231) 325-2737
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010222
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992751119
—
MI
01
—
2142381
PK
—
Enumeration date
05/26/2006
Last updated
04/14/2020
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