# HANS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hans Pharmacy Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346492683
- **Authorized official:** COREY DONOVAN (MANAGER)
- **Authorized official phone:** (541) 416-1970

## Contact information

- **Practice address:** 136 NE 3RD ST, PRINEVILLE, OR 97754-1915
- **Practice address phone:** (541) 416-1970
- **Practice address fax:** (541) 416-1972
- **Mailing address:** 136 NE 3RD ST, PRINEVILLE, OR 97754-1915
- **Mailing address phone:** (541) 416-1970
- **Mailing address fax:** (541) 416-1972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | RP0001687 | OR | Yes |

## Other

- **Enumeration date:** 10/17/2008
- **Last updated:** 05/16/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 026060 | — | OR |
| 01 | — | 2117549 | PK | — |