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General NPI Number Information
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NPI Number | 1174237606
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Entity Type | Organization
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Legal Business Name | HOME TOWN MARKET INC.
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Dates
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Enumeration Date | 01/10/2023
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 599 VETERANS AVENUE EAST
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City | CALHOUN CITY
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State | MS
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Zip | 38916
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Country | US
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Telephone | 662-591-5234
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Fax |
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Provider Business Mailing Address
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Address Line | 599 E. VETERANS AVENUE
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City | CALHOUN CITY
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State | MS
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Zip | 38916
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Country | US
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Telephone | 662-499-6076
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Fax | 662-499-6083
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Authorized Official
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Title or Position | PIC
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Name | WILLIAM MILLER
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Credential |
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Telephone | 662-499-6076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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