Organization
D & S HOMETOWN PHARMACIES, INC.
Active
Other names
Philomath Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK EDWIN SARGEANT RPH (OWNER)
(541) 929-3981
Entity
Organization
Contact information
Practice address
1644 MAIN STREET, PHILOMATH, OR 97370-0923
(541) 929-3981
(541) 929-3724
Mailing address
PO BOX 1570, PHILOMATH, OR 97370-1570
(541) 929-3981
(541) 929-3724
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0000419
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3806087
NCPDP
OR
Enumeration date
12/06/2006
Last updated
08/22/2020
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