NPI 1154159051
Hometown Market , INC
Practice location
- Address
- 1906 S Gloster St, Tupelo, MS 38801-6543
- Phone
- (662) 672-0191
- Mailing address
- 805 Shell Street Pharmacy, Tupelo, MS 38801
Authorised official
- Name
- Christopher Jarvene Shackelford
- Title
- Pharmacy Director
- Phone
- (662) 672-0191
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1154159051
- Entity type
- Organization
- NPI issued
- 23 Jul 2024
- Record last updated
- 23 Jul 2024
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.