Hometown Market , INC
NPI #1154159051 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1154159051
- Entity Type
- Organization
- Organization Name
- Hometown Market , INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HOMETOWN MARKET , INC
- Primary Specialty
- Home Health
- Enumeration Date
- Jul 23, 2024
- Last Updated
- Jul 23, 2024
Practice Location
- Address
- 1906 S GLOSTER ST
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38801-6543
- Phone
- (662) 672-0191
Authorized Official
- Name
- CHRISTOPHER JARVENE SHACKELFORD
- Title
- PHARMACY DIRECTOR
- Phone
- (662) 672-0191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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