Provider Demographics
NPI:1114401601
Name:HOME & HOME PHARMACY INC
Entity Type:Organization
Organization Name:HOME & HOME PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-505-8688
Mailing Address - Street 1:8618 WHITNEY AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-3658
Mailing Address - Country:US
Mailing Address - Phone:718-505-8688
Mailing Address - Fax:718-505-8988
Practice Address - Street 1:8618 WHITNEY AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-3658
Practice Address - Country:US
Practice Address - Phone:718-505-8688
Practice Address - Fax:718-505-8988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy