NPI 1003914615
Hometown Development
Practice location
- Address
- 1324 Broadway, Imperial, NE 69033-0597
- Phone
- (308) 882-4863
- Fax
- (308) 882-4510
- Mailing address
- 1324 Broadway; PO Box 597, Imperial, NE 69033-0597
Authorised official
- Name
- Diane Sandall
- Title
- Co-Owner
- Phone
- (308) 882-4863
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1003914615
- Entity type
- Organization
- NPI issued
- 20 Sep 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.