| NPI | 1972558104 |
|---|---|
| Doing Business As | HOMETOWN PHARMACY #41 - TRAVERSE CITY |
| 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 5301010223) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-04-14 |