Hometown Pharmacy #21 - Shelby

LBN: Hometown Pharmacy Inc
Hometown Pharmacy #21 - Shelby is an health care organization with primary practice located at 178 N Michigan Ave , Shelby MI 49455-1028. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Hometown Pharmacy Inc can be contacted via phone (231) 861-4341, or through Desarmo, Rebekah Lyn via phone (231) 861-6902.

Contact Information

Primary practice address
178 N Michigan Ave Shelby MI 49455-1028
Phone: (231) 861-4341
Fax: (231) 861-6609
Website:
Map and Directions
Authorized official contact:
Name: Desarmo, Rebekah Lyn PHARM D., MBA
Phone: (231) 861-6902

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301005684 Michigan
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1215014311
LBN Legal business name Hometown Pharmacy Inc
DBA Doing business as Hometown Pharmacy #21 - Shelby
Authorized official Desarmo, Rebekah Lyn PHARM D., MBA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Apr 23rd, 2024 - about 2 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 1215014311 NPPES
Michigan MEDICAID 1215014311
Michigan Other 2119693

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