| NPI | 1578670410 |
|---|---|
| Doing Business As | HOMETOWN PHARMACY #51 - GRAND RAPIDS |
| Entity Type | Organization |
| Authorized Contact | REBEKAH LYN DESARMO Executive Operations Administrator 231-652-7810 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010897) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-04-14 |