National Provider Identifier Database

HOME TOWN DRUGS OF PRINEVILLE INC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

HOME TOWN DRUGS OF PRINEVILLE INC
198 NE COMBS FLAT RD STE 100
PRINEVILLE, OR97754-2563
Phone: 541-447-4111
Fax: 541-416-9570
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Clinic Pharmacy 3336C0002X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for HOME TOWN DRUGS OF PRINEVILLE INC

NPI Number 1801924006
Legal business name
LBN
HOME TOWN DRUGS OF PRINEVILLE INC
Authorized official MICHAEL MENDAZONA - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/01/2007
Last updated 12/15/2020 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: 00430
  • OR Medicaid: 228749
  • Other: 3804273 NCPDP PROVIDER IDENTIFICATION NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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