Hometown Pharmacy

LBN: Hometown Pharmacy Management Llc
Hometown Pharmacy is an health care organization with primary practice located at 110 Leroux Street , Doniphan MO 63935-0000. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Hometown Pharmacy Management Llc can be contacted via phone (573) 996-4000, or through Burke, Joel via phone (573) 996-5118.

Contact Information

Primary practice address
110 Leroux Street Doniphan MO 63935-0000
Phone: (573) 996-4000
Fax: (573) 996-3239
Website:
Map and Directions
Authorized official contact:
Name: Burke, Joel R.PH.
Phone: (573) 996-5118

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1295035327
LBN Legal business name Hometown Pharmacy Management Llc
DBA Doing business as Hometown Pharmacy
Authorized official Burke, Joel R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2010
Last updated Apr 25th, 2013 - about 11 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 1295035327 NPPES
Missouri MEDICAID 1295035327

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