# D & S HOMETOWN PHARMACIES, INC.

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

## Provider details

- **NPI number:** 1548329733
- **Authorized official:** MR. MARK EDWIN SARGEANT RPH (OWNER)
- **Authorized official phone:** (541) 929-3981

## Contact information

- **Practice address:** 1644 MAIN STREET, PHILOMATH, OR 97370-0923
- **Practice address phone:** (541) 929-3981
- **Practice address fax:** (541) 929-3724
- **Mailing address:** PO BOX 1570, PHILOMATH, OR 97370-1570
- **Mailing address phone:** (541) 929-3981
- **Mailing address fax:** (541) 929-3724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 0000419 | OR | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3806087 | NCPDP | OR |