The Hometown Pharmacy

LBN: Wandaroo Inc
The Hometown Pharmacy is an health care organization with primary practice located at 1135 W Western Reserve Rd , Poland OH 44514-3592. 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. Wandaroo Inc can be contacted via phone (330) 629-7345, or through Mcdermott, Ronald via phone (330) 318-3926.

Contact Information

Primary practice address
1135 W Western Reserve Rd Poland OH 44514-3592
Phone: (330) 629-7345
Fax: (330) 629-7353
Website:
Map and Directions
Authorized official contact:
Name: Mcdermott, Ronald
Phone: (330) 318-3926

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 021628150 Ohio

Profile Details

NPI number 1811087877
LBN Legal business name Wandaroo Inc
DBA Doing business as The Hometown Pharmacy
Authorized official Mcdermott, Ronald
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated Mar 10th, 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 1811087877 NPPES
Ohio MEDICAID 2960005
Ohio Other 2080486

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