| NPI | 1356455414 |
|---|---|
| Doing Business As | HOMETOWN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JESSE I. KLEINHESSELINK Owner/President 712-737-4919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 666) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: IA 666) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IA 666) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IA 666) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2023-03-07 |