| NPI | 1275810616 |
|---|---|
| Doing Business As | HOMETOWN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW HUTERA Owner 651-214-3762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07808) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07542) | |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2017-03-15 |