Hometown Pharmacy #41 - Traverse City

LBN: Hometown Pharmacy Inc
Hometown Pharmacy #41 - Traverse City is an health care organization with primary practice located at 4000 Eastern Sky Dr Suite 1, Traverse City MI 49684-7351. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Hometown Pharmacy Inc can be contacted via phone (231) 947-6921, or through Desarmo, Rebekah Lyn via phone (231) 652-7810.

Contact Information

Primary practice address
4000 Eastern Sky Dr Suite 1 Traverse City MI 49684-7351
Fax: (231) 947-4579
Website:
Authorized official contact:
Name: Desarmo, Rebekah Lyn

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301010223 Michigan
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1972558104
LBN Legal business name Hometown Pharmacy Inc
DBA Doing business as Hometown Pharmacy #41 - Traverse City
Authorized official Desarmo, Rebekah Lyn
Entity Organization
Organization subpart 1 No
Enumeration date May 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972558104 NPPES
Other 2142382 PK
MEDICAID 1972558104 PK

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