| NPI | 1902934763 |
|---|---|
| Doing Business As | LTC HOMETOWN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JILLIAN GARRISON Operations, Licensing/Credentialing 573-885-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2023-08-08 |