Hometown Pharmacy

LBN: Agp Pharmacy Llc
Hometown Pharmacy is an health care organization with primary practice located at 3200 Olton Rd B, Plainview TX 79072-6653. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Agp Pharmacy Llc can be contacted via phone (806) 296-9000, or through Peters, Alisa Gwen via phone (806) 543-1337.

Contact Information

Primary practice address
3200 Olton Rd B Plainview TX 79072-6653
Phone: (806) 296-9000
Fax: (806) 296-9001
Website:
Map and Directions
Authorized official contact:
Name: Peters, Alisa Gwen R.PH.
Phone: (806) 543-1337

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 27995 Texas
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1356609358
LBN Legal business name Agp Pharmacy Llc
DBA Doing business as Hometown Pharmacy
Authorized official Peters, Alisa Gwen R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2012
Last updated Sep 19th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356609358 NPPES
Texas MEDICAID 148197

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