Hometown Pharmacy

LBN: Deskins Hometown Pharmacy, Inc.
Hometown Pharmacy is an health care organization with primary practice located at 6912 Riverside Drive Suite 4 , Raven VA 24639. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Deskins Hometown Pharmacy, Inc. can be contacted via phone (276) 498-4663, or through Deskins, Hilary Beth via phone (720) 352-4721.

Contact Information

Primary practice address
6912 Riverside Drive Suite 4 Raven VA 24639
Phone: (276) 498-4663
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Deskins, Hilary Beth PHARMD
Phone: (720) 352-4721

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1578148037
LBN Legal business name Deskins Hometown Pharmacy, Inc.
DBA Doing business as Hometown Pharmacy
Authorized official Deskins, Hilary Beth PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2021
Last updated Jun 29th, 2021 - about 5 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 1578148037 NPPES
Virginia MEDICAID 2021130902

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