Hometown Pharmacy

LBN: Shoals Family Pharmacy Group Inc
Hometown Pharmacy is an health care organization with primary practice located at 609 Gandy St Ne , Russellville AL 35653-1911. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Shoals Family Pharmacy Group Inc can be contacted via phone (256) 332-7400, or through Dearman, Carrie via phone (256) 332-7400.

Contact Information

Primary practice address
609 Gandy St Ne Russellville AL 35653-1911
Phone: (256) 332-7400
Fax: (256) 332-7490
Website:
Map and Directions
Authorized official contact:
Name: Dearman, Carrie
Phone: (256) 332-7400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 112971 Alabama

Profile Details

NPI number 1437358751
LBN Legal business name Shoals Family Pharmacy Group Inc
DBA Doing business as Hometown Pharmacy
Authorized official Dearman, Carrie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2007
Last updated Apr 13th, 2017 - about 9 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 1437358751 NPPES
Other 2123137 PK
MEDICAID 115783 PK

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