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Contact Information

HOMETOWN APOTHECARY
1355 US HWY 41A S
DIXON, KY42409
 Phone: 270-639-5242
 Fax: 270-639-6369
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HOMETOWN APOTHECARY

NPI # 1548487507
LBN Legal business name HOMETOWN APOTHECARY
Authorized official JANE SMITH - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/19/2007
Last updated 09/13/2007 - About 19 years ago
Identifiers
KY License # PO6351
KY Medicaid 54001086
Other 1824994 OTHER ID NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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