Hernando'S Hometown Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in Vineland, NJ. Organization (NPI-2).
NPI number1649535105
StatusActive
Last updated in NPPESJul 13, 2021
Details
- NPI
- 1649535105
- Entity type
- Organization (NPI-2)
- Legal business name
- Hernando'S Hometown Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Jul 11, 2012
- Certification date
- Jun 17, 2021
- Last updated
- Jul 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 28RS00720100 | NJ | Yes |
Other names
- Hernando'S Hometown Pharmacy (Doing Business As)
Practice location
741 E Landis AveUnit B
Vineland, NJ 08360-8016
Phone 856-691-3784 · Fax 856-691-6777
Mailing address
741 E Landis AveUnit B
Vineland, NJ 08360-8016
Phone 856-691-3784 · Fax 856-691-6777
Authorized official
Hernando Perez
Owner/Pharmacist
8566913784
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