Organization
D & S HOMETOWN PHARMACIES INC
Active
Other names
LAMBS GARDEN HOME PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK EDWIN SARGEANT RPH (OWNER)
(503) 244-4508
Entity
Organization
Contact information
Practice address
7410 SW OLESON RD, PORTLAND, OR 97223-7475
(503) 244-4508
(503) 246-0654
Mailing address
7410 SW OLESON RD, #420, PORTLAND, OR 97223-7475
(503) 244-4508
(503) 246-0654
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271172
—
OR
01
—
3806087
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/18/2006
Last updated
08/17/2007
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