Hometown Pharmacy

LBN: Kiowa Pharmacy, Inc.
Hometown Pharmacy is an health care organization with primary practice located at 1201 Olive St Suite 104, Gainesville TX 76240. 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 / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kiowa Pharmacy, Inc. can be contacted via phone (940) 668-7384, or through Hindsley, Rhonda S via phone (903) 893-0677.

Contact Information

Primary practice address
1201 Olive St Suite 104 Gainesville TX 76240
Phone: (940) 668-7384
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hindsley, Rhonda S
Phone: (903) 893-0677

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 13583 Texas
Suppliers / Pharmacy 333600000X 13583 Texas
Suppliers / Community/Retail Pharmacy 3336C0003X 13583 Texas
Suppliers / Compounding Pharmacy 3336C0004X 13583 Texas

Profile Details

NPI number 1265418792
LBN Legal business name Kiowa Pharmacy, Inc.
DBA Doing business as Hometown Pharmacy
Authorized official Hindsley, Rhonda S
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2005
Last updated Jul 13th, 2010 - about 16 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 1265418792 NPPES
Texas MEDICAID 143598
Texas MEDICAID 0677445-03

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