HOMETOWN LTC PHARMACY INC NPI 1598108847

NPI Information

HOMETOWN LTC PHARMACY INC is a long term care pharmacy pharmacy in Santa Maria, CA. 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. HOMETOWN LTC PHARMACY INC NPI is 1598108847. The provider is registered as an organization entity type.
The provider Is Doing Business As Hometown Ltc Pharmacy.

The provider's business location address is:

1450 W MCCOY LN STE B
SANTA MARIA, CA
ZIP 93455-059
Phone: (805) 928-2200
Fax: (805) 928-6200

The provider's authorized official is Joseph Abraham .
The authorized official title is President and has the following contact phone number (805) 928-2200.

The CLIA number assigned to this NPI record is 05D2205544 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2013 and was last updated on 7/19/2018.

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:

Other Identifiers

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

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