Healthcare Provider Details

I. General information

NPI: 1902663826
Provider Name (Legal Business Name): HOMETOWN PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2024
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1805 ROUTE 206 STE 9
SOUTHAMPTON NJ
08088-3558
US

IV. Provider business mailing address

1805 ROUTE 206 STE 9
SOUTHAMPTON NJ
08088-3558
US

V. Phone/Fax

Practice location:
  • Phone: 609-859-5633
  • Fax: 609-859-5636
Mailing address:
  • Phone: 609-859-5633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY QUINLAN MURPHY
Title or Position: OWNER
Credential: RPH
Phone: 609-859-5633