Hometown Pharmacy #25
LBN: Hometown Pharmacy Inc.
Hometown Pharmacy #25 is an health care organization with primary practice located at 15483 S Dixie Hwy , Monroe MI 48161-3953. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Hometown Pharmacy Inc. can be contacted via phone (734) 243-5656, or through Desarmo, Rebekah Lyn via phone (231) 652-7810.
Contact Information
Primary practice address
15483 S Dixie Hwy
Monroe MI 48161-3953
Phone: (734) 243-5656
Fax: (734) 457-4056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301009206 | Michigan |
Profile Details
| NPI number | 1447244561 |
|---|---|
| LBN Legal business name | Hometown Pharmacy Inc. |
| DBA Doing business as | Hometown Pharmacy #25 |
| Authorized official | Desarmo, Rebekah Lyn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Apr 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447244561 | NPPES |
| Other | 2122577 | PK | |
| MEDICAID | 2526362 | PK |
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