Organization Name: | EAST TROY HOMETOWN PHARMACY |
NPI Number: | 1144572975 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANE DEANS (CONTRACTING SPECIALIST) |
Mailing Address: | 3284 Main St East Troy |
State: | WI US |
Postal Code: | 531201152 |
Phone Number: | 2626423510 |
Fax Number: | |
NPI Enumeration Date: | 10/03/2012 |
NPI Last Update Date: | 03/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |