Hometown Pharmacy #51 - Grand Rapids
LBN: Hometown Pharmacy Inc
Hometown Pharmacy #51 - Grand Rapids is an health care organization with primary practice located at 4252 Kalamazoo Ave Se , Grand Rapids MI 49508-3607. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Hometown 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301010897 | Michigan |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1578670410 |
|---|---|
| LBN Legal business name | Hometown Pharmacy Inc |
| DBA Doing business as | Hometown Pharmacy #51 - Grand Rapids |
| Authorized official | Desarmo, Rebekah Lyn |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Apr 14th, 2020 - about 4 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 | 1578670410 | NPPES |
| Other | 2158175 | PK |
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