A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
ID license #1418CPtaxonomy 3336C0003X
Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
taxonomy 332B00000X
Pharmacy
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other...
taxonomy 3336L0003X
Identifiers
Type
Value
Notes
05 (OR)
297021
01
1306770
NCPDP PROVIDER IDENTIFICATION NUMBER
05 (ID)
805397800
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
HOMEDALE DRUG
Type code 3recorded 2022-03-17
HOMEDALE DRUG
Type code 3recorded 2009-02-27
Practice context
Single-site organization. Only one practice location on file.
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