HOMETOWN PHARMACY INC
4000 Eastern Sky Dr Suite 1
Traverse City, MI 49684
231-947-6921
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies - | ||
N | 333600000X | Suppliers - Pharmacy | ||
N | 3336C0004X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | MI | 5301010223 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1972558104 | MI | MEDICAID | |
PK | 2142382 | OTHER |