Hometown Pharmacy

LBN: Hometown Development
Hometown Pharmacy is an health care organization with primary practice located at 1324 Broadway , Imperial NE 69033-0597. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Hometown Development can be contacted via phone (308) 882-4863, or through Sandall, Diane via phone (308) 882-4863.

Contact Information

Primary practice address
1324 Broadway Imperial NE 69033-0597
Phone: (308) 882-4863
Fax: (308) 882-4510
Website:
Map and Directions
Authorized official contact:
Name: Sandall, Diane
Phone: (308) 882-4863

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2686 Nebraska

Profile Details

NPI number 1003914615
LBN Legal business name Hometown Development
DBA Doing business as Hometown Pharmacy
Authorized official Sandall, Diane
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 22nd, 2020 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003914615 NPPES
Nebraska MEDICAID 10025337400

Popular Providers