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:
Map and Directions
Authorized official contact:
Name: Mendazona, Michael
Phone: (541) 325-1059

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801924006 NPPES
Oregon MEDICAID 228749
Oregon Other 3804273

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