NPI | 1053597070 |
---|---|
Doing Business As | YOUR HOMETOWN PHARMACY |
Entity Type | Organization |
Authorized Contact | BYRON MOON Owner 814-860-6338 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP481777) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2008-01-22 |
Last Update Date | 2016-02-17 |