# HOME TOWN DRUGS OF ROSEBURG INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881106961
- **Authorized official:** JEFFREY SHANE HARRELL PHARMD (OWNER)
- **Authorized official phone:** (360) 859-8659

## Contact information

- **Practice address:** 1813 W HARVARD AVE STE 210, ROSEBURG, OR 97471-2709
- **Practice address phone:** (541) 229-1112
- **Practice address fax:** (541) 464-4530
- **Mailing address:** 1813 W HARVARD AVE STE 210, ROSEBURG, OR 97471-2709
- **Mailing address phone:** (541) 229-1112
- **Mailing address fax:** (541) 464-4530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/30/2017
- **Last updated:** 12/20/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 274394 | — | OR |
| 01 | — | 3842831 | NCPDP | OR |