Organization Name: | HOMETOWN PHARMACY INC. |
NPI Number: | 1780775981 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID MORGAN (CO OWNER) |
Mailing Address: | 130 Hwy 80 Hyden |
State: | KY US |
Postal Code: | 417491746 |
Phone Number: | 6066723084 |
Fax Number: | 6066725526 |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 05/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | P02413 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |