| NPI | 1982650420 |
|---|---|
| Doing Business As | HOMETOWN PHARMACY #48 - MISHAWAKA |
| 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: IN 60006398A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-04-14 |