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Contact Information

HOMETOWN PHARMACY INC
1105 SIXTH ST RM 2451
TRAVERSE CITY, MI49684-2345
 Phone: 231-935-5678
 Fax: 231-935-6540
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HOMETOWN PHARMACY INC

NPI # 1730819574
LBN Legal business name HOMETOWN PHARMACY INC
Authorized official REBEKAH DESARMO - (VP OF FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2022
Last updated 03/19/2025 - More than a year ago
Identifiers
MI Medicaid 1730819574
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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