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Organization
HOME TOWN DRUGS OF ROSEBURG INC
Active
Organization
HOME TOWN DRUGS OF ROSEBURG INC
Active
Other names
HOMETOWN DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SHANE HARRELL PHARMD (OWNER)
(360) 859-8659
Entity
Organization
Contact information
Practice address
1813 W HARVARD AVE, SUITE 210, ROSEBURG, OR 97471-2709
(541) 229-1112
(541) 229-1112
Mailing address
1813 W HARVARD AVE, SUITE 210, ROSEBURG, OR 97471-2709
(541) 229-1112
(541) 229-1112
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP0002408
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274394
—
OR
01
—
3842831
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/13/2007
Last updated
12/20/2025
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