NPI | 1306208483 |
---|---|
Doing Business As | HOMETOWN PHARMACY #53 - MUSKEGON |
Entity Type | Organization |
Authorized Contact | REBEKAH LYN DESARMO Executive Operations Administrator 231-652-7810 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010903) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2016-03-28 |
Last Update Date | 2020-04-13 |