HOME TOWN DRUGS OF ROSEBURG, INC
1813 W Harvard Ave Suite 210
Roseburg, OR 97471
541-229-1112
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | OR | RP0002408 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
274394 | OR | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 3842831 | OTHER |