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Hometown Pharmacy Inc

Hometown Pharmacy Inc is a health care provider in New Buffalo, MI. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1 N Whittaker St, New Buffalo, MI 49117-1135, US
Practice Location Phone269-469-3636
Practice Location Fax269-469-3279
Legal Business NameHOMETOWN PHARMACY INC
Other Organization NameHOMETOWN PHARMACY #50 - NEW BUFFALO
Other Organization Name TypeDoing Business As Name
NPI ?1275610263
Entity TypeOrganization
Enumeration Date ? Nov 1, 2006
Last Update Date ? Jul 18, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Hometown Pharmacy Inc

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies
Pharmacy
PharmacyCommunity/Retail Pharmacy 5301010788Michigan

legacy-id-icon Legacy Provider IDs of Hometown Pharmacy Inc

Provider IdIssuer StateIssuer TypeIssuer
1171770001Medicare Nsc
2156080OtherPK
2509352MichiganMedicaid

official-icon Authorized Official of Hometown Pharmacy Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Hometown Pharmacy Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Jim Grice (JD)
Authorized Official Title/PositionVICE PRESIDENT
Authorized Official Phone Number231-861-6946