Home Town Pharmacy Inc

LBN: Home Town Pharmacy Inc
Home Town Pharmacy Inc is an health care organization with primary practice located at 4252 Kalamazoo Ave Se , Grand Rapids MI 49508-3607. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Home Town Pharmacy Inc can be contacted via phone (616) 281-1323, or through Desarmo, Rebekah Lyn via phone (231) 652-7810.

Contact Information

Primary practice address
4252 Kalamazoo Ave Se Grand Rapids MI 49508-3607
Phone: (616) 281-1323
Fax: (616) 281-1330
Website:
Map and Directions
Authorized official contact:
Name: Desarmo, Rebekah Lyn PHARM D., MBA
Phone: (231) 652-7810

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1356981922
LBN Legal business name Home Town Pharmacy Inc
DBA Doing business as
Authorized official Desarmo, Rebekah Lyn PHARM D., MBA
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 13th, 2020
Last updated Mar 7th, 2023 - about 2 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 1356981922 NPPES
Michigan Other 5301010897 BOARD OF PHARMACY
Michigan Other 5315074625 BOARD OF PHARMACY

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