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General NPI Number Information
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NPI Number | 1982050670
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Entity Type | Organization
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Legal Business Name | HOMETOWN PHARMACY LLC
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Dates
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Enumeration Date | 05/11/2016
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 401 GLENWOOD AVE STE 101
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City | RALEIGH
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State | NC
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Zip | 27603-1219
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Country | US
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Telephone | 919-856-9502
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Fax | 919-615-0949
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Provider Business Mailing Address
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Address Line | 401 GLENWOOD AVE STE 101
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City | RALEIGH
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State | NC
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Zip | 27603-1219
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Country | US
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Telephone | 919-856-9502
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Fax | 919-615-0949
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Authorized Official
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Title or Position | OWNER-MANAGER
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Name | MR. CHI TRUNG VU HUYNH
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Credential |
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Telephone | 919-856-9502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 12951
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License Number State | NC
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