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HOME TOWN PHARMACY INC NPI 1447890017


NPI Information

NPI: 1447890017
Provider Name: HOME TOWN PHARMACY INC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
5277 LAPEER RD
KIMBALL, MI
ZIP 48074
Phone: (810) 984-8200
Get Directions

HOME TOWN PHARMACY INC is a long term care pharmacy pharmacy in Kimball, MI. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. HOME TOWN PHARMACY INC NPI is 1447890017. The provider is registered as an organization entity type.

The provider's business location address is:

5277 LAPEER RD
KIMBALL, MI
ZIP 48074-422
Phone: (810) 984-8200
Fax: (810) 984-1633

The provider's authorized official is Rebekah Lyn Desarmo .
The authorized official title is Executive Operations Administrator and has the following contact phone number (231) 652-7810.

The enumeration date for this NPI number is 1/13/2020 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15301003574OTHERMICHIGANBOARD OF PHARMACY
25315180379OTHERMICHIGANCONTROLLED SUBSTANCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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