# B L W INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hometown Drugs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760493431
- **Authorized official:** MICHAEL MENDAZONA RPH (PRESIDENT)
- **Authorized official phone:** (541) 475-2142

## Contact information

- **Practice address:** 65 NE OAK ST STE 100, MADRAS, OR 97741-1814
- **Practice address phone:** (541) 475-2142
- **Practice address fax:** (541) 475-6244
- **Mailing address:** 65 NE OAK ST STE 100, MADRAS, OR 97741-1814
- **Mailing address phone:** (541) 475-2142
- **Mailing address fax:** (541) 475-6244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | — | NULL | — |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | RP0000292CS | OR | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 09/18/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 194373 | — | OR |
| 01 | — | 2077338 | PK | — |
| 05 | — | 293105 | — | OR |