Clinic Pharmacy
LBN: Home Town Drugs Of Prineville Inc
Clinic Pharmacy is an health care organization with primary practice located at 198 Ne Combs Flat Rd Ste 100 , Prineville OR 97754-2563. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Home Town Drugs Of Prineville Inc can be contacted via phone (541) 447-4111, or through Mendazona, Michael via phone (541) 325-1059.
Contact Information
Primary practice address
198 Ne Combs Flat Rd Ste 100
Prineville OR 97754-2563
Phone: (541) 447-4111
Fax: (541) 416-9570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 00430 | Oregon |
Profile Details
| NPI number | 1801924006 |
|---|---|
| LBN Legal business name | Home Town Drugs Of Prineville Inc |
| DBA Doing business as | Clinic Pharmacy |
| Authorized official | Mendazona, Michael |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Dec 15th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801924006 | NPPES |
| Oregon | MEDICAID | 228749 | |
| Oregon | Other | 3804273 |
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