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Organization

HANS PHARMACY INC

Active
Other names
Hans Pharmacy Inc
Organization subpart
No

Provider details

NPI number
Authorized official
COREY DONOVAN (MANAGER)
(541) 416-1970
Entity
Organization

Contact information

Practice address
136 NE 3RD ST, PRINEVILLE, OR 97754-1915
(541) 416-1970
(541) 416-1972
Mailing address
136 NE 3RD ST, PRINEVILLE, OR 97754-1915
(541) 416-1970
(541) 416-1972

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP0001687
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
026060
OR
01
2117549
PK
Enumeration date
10/17/2008
Last updated
05/16/2014
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