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General NPI Number Information
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NPI Number | 1801085212
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Entity Type | Organization
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Legal Business Name | HOMETOWN DRUGS OF SWEET HOME INC
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 12/20/2025
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Provider Practice Location Address
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Address Line | 621 MAIN ST STE A
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City | SWEET HOME
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State | OR
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Zip | 97386-3339
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Country | US
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Telephone | 541-367-6777
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Fax | 541-367-6500
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Provider Business Mailing Address
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Address Line | PO BOX B
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City | ILWACO
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State | WA
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Zip | 98624-0167
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Country | US
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Telephone | 541-367-6777
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Fax | 541-367-6500
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY HARRELL
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Credential | PHARMD
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Telephone | 360-859-8659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | RP0002443
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License Number State | OR
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