| NPI | 1164830667 |
|---|---|
| Doing Business As | HOMETOWN MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | NATHAN BLAIR Owner 636-203-5883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-12-02 |