Hometown Pharmacy LLC

NPI #1700172087 in Corsicana, Texas

Provider Information

NPI Number: 1700172087
Entity Type: Organization
Organization Name: Hometown Pharmacy LLC
Primary Specialty: Pharmacy - Long Term Care Pharmacy
Enumeration Date: Jun 24, 2011
Last Updated: Jan 10, 2012

Practice Location

Address: 2800 W HIGHWAY 22 STE A
City: Corsicana
State: Texas
ZIP Code: 75110-2454
Phone: (903) 872-3784

Authorized Official

Name: VANCE OGLESBEE
Title: PRESIDENT
Phone: (903) 389-2541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X
Pharmacy - Compounding Pharmacy — Compounding Pharmacy	3336C0004X
Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy	3336L0003X	Primary

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