Hometown Pharmacy #48 - Mishawaka

LBN: Hometown Pharmacy Inc.
Hometown Pharmacy #48 - Mishawaka is an health care organization with primary practice located at 606 N Main St , Mishawaka IN 46545-6620. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Hometown Pharmacy Inc. can be contacted via phone (574) 255-2988, or through Desarmo, Rebekah Lyn via phone (231) 652-7810.

Contact Information

Primary practice address
606 N Main St Mishawaka IN 46545-6620
Phone: (574) 255-2988
Fax: (574) 258-5945
Website:
Map and Directions
Authorized official contact:
Name: Desarmo, Rebekah Lyn
Phone: (231) 652-7810

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 60006398A Indiana
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1982650420
LBN Legal business name Hometown Pharmacy Inc.
DBA Doing business as Hometown Pharmacy #48 - Mishawaka
Authorized official Desarmo, Rebekah Lyn
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 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 1982650420 NPPES
Other 2146914 PK

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