<Unavail>
LBN: Hometown Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 1105 Sixth St Rm 2451 , Traverse City MI 49684-2345. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty.
Hometown Pharmacy Inc can be contacted via phone (231) 935-5678, or through Desarmo, Rebekah Lyn via phone (231) 861-6902.
Contact Information
Primary practice address
1105 Sixth St Rm 2451
Traverse City MI 49684-2345
Phone: (231) 935-5678
Fax: (231) 935-6540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Institutional Pharmacy | 3336I0012X |
Profile Details
| NPI number | 1730819574 |
|---|---|
| LBN Legal business name | Hometown Pharmacy Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Desarmo, Rebekah Lyn PHARM D., MBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 14th, 2022 |
| Last updated | Mar 19th, 2025 - about last year |
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 | 1730819574 | NPPES |
| Michigan | MEDICAID | 1730819574 |
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