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Organization
HOME TOWN DRUGS OF ROSEBURG INC
Active
Organization
HOME TOWN DRUGS OF ROSEBURG INC
Active
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 STE 210, ROSEBURG, OR 97471-2709
(541) 229-1112
(541) 464-4530
Mailing address
1813 W HARVARD AVE STE 210, ROSEBURG, OR 97471-2709
(541) 229-1112
(541) 464-4530
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274394
—
OR
01
—
3842831
NCPDP
OR
Enumeration date
10/30/2017
Last updated
12/20/2025
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