Hometown Drug Company, Llc
LBN: Hometown Drug Company Llc
Hometown Drug Company, Llc is an health care organization with primary practice located at 307 N Broadway St , Poteau OK 74953-3355. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Hometown Drug Company Llc can be contacted via phone (918) 647-2349, or through Carter, Jason via phone (405) 388-4822.
Contact Information
Primary practice address
307 N Broadway St
Poteau OK 74953-3355
Phone: (918) 647-2349
Fax: (918) 647-2359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 195660 | Oklahoma |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1962791483 |
|---|---|
| LBN Legal business name | Hometown Drug Company Llc |
| DBA Doing business as | Hometown Drug Company, Llc |
| Authorized official | Carter, Jason PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 5th, 2011 |
| Last updated | Feb 20th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962791483 | NPPES |
| Oklahoma | MEDICAID | 200347280B | |
| Oklahoma | MEDICAID | 200347280C | |
| Oklahoma | Other | 2129724 |
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