Home Town Drugs Of Roseburg Inc

LBN: Home Town Drugs Of Roseburg Inc
Home Town Drugs Of Roseburg Inc is an health care organization with primary practice located at 1813 W Harvard Ave Ste 210 , Roseburg OR 97471-2709. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Home Town Drugs Of Roseburg Inc can be contacted via phone (541) 229-1112, or through Harrell, Jeffrey Shane via phone (360) 244-5984.

Contact Information

Primary practice address
1813 W Harvard Ave Ste 210 Roseburg OR 97471-2709
Phone: (541) 229-1112
Fax: (541) 464-4530
Website:
Map and Directions
Authorized official contact:
Name: Harrell, Jeffrey Shane
Phone: (360) 244-5984

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1881106961
LBN Legal business name Home Town Drugs Of Roseburg Inc
DBA Doing business as
Authorized official Harrell, Jeffrey Shane
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2017
Last updated Jun 30th, 2024 - about 5 months 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 1881106961 NPPES
Oregon Other 3842831 NCPDP
Oregon MEDICAID 274394 NCPDP

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