| NPI | 1730132879 |
|---|---|
| Doing Business As | HOMETOWN PHARMACY LTC #4 |
| Entity Type | Organization |
| Authorized Contact | REBEKAH LYN DESARMO VP Of Finance 231-861-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MI 5301010219) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2023-09-11 |