Managed Healthcare Pharmacy
LBN: Achterhof Healthcare Pharmacy, Llc
Managed Healthcare Pharmacy is an health care organization with primary practice located at 1750 Willow Creek Cir , Eugene OR 97402-9152. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Achterhof Healthcare Pharmacy, Llc can be contacted via phone (541) 744-1641, or through Klemm, Randall Scott via phone (541) 744-1641.
Contact Information
Primary practice address
1750 Willow Creek Cir
Eugene OR 97402-9152
Phone: (541) 744-1641
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 001218 | Oregon |
| Suppliers / Pharmacy | 333600000X | 001218 | Oregon |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | IP-0001218-CS | Oregon |
Profile Details
| NPI number | 1225022841 |
|---|---|
| LBN Legal business name | Achterhof Healthcare Pharmacy, Llc |
| DBA Doing business as | Managed Healthcare Pharmacy |
| Authorized official | Klemm, Randall Scott RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Jan 27th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225022841 | NPPES |
| Oregon | MEDICAID | 181401 | |
| Oregon | MEDICAID | 181400 |
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