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Organization

DANCA LENNA INC

Active
Other names
HOME TOWN DRUGS
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID REDDEN RPH (OWNER)
(541) 367-4668
Entity
Organization

Contact information

Practice address
1023 MAIN ST, SWEET HOME, OR 97386-1515
(541) 367-4231
(541) 367-2825
Mailing address
1023 MAIN ST, SWEET HOME, OR 97386-1515

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
00506
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
056929
OR
01
3805097
OTHER ID NUMBER
Enumeration date
02/15/2007
Last updated
09/12/2007
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