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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 Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HOME TOWN DRUGS OF PRINEVILLE INC

NPI Number 1801924006
LBN Legal business name HOME TOWN DRUGS OF PRINEVILLE INC
Authorized official MICHAEL MENDAZONA - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2007
Last updated 12/15/2020 - About 5 years ago
Identifiers
OR License # 00430
OR Medicaid 228749
Other 3804273 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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