Cascade Custom Pharmacy

LBN: Cascade Apothecary Inc
Cascade Custom Pharmacy is an health care organization with primary practice located at 19550 Amber Meadow Dr Ste 170 , Bend OR 97702-3527. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Cascade Apothecary Inc can be contacted via phone (541) 389-3671, or through Valerga, Angela via phone (541) 389-3671.

Contact Information

Primary practice address
19550 Amber Meadow Dr Ste 170 Bend OR 97702-3527
Phone: (541) 389-3671
Fax: (541) 728-0988
Website:
Map and Directions
Authorized official contact:
Name: Valerga, Angela
Phone: (541) 389-3671

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X RP0002541CS Oregon
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1528213790
LBN Legal business name Cascade Apothecary Inc
DBA Doing business as Cascade Custom Pharmacy
Authorized official Valerga, Angela
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2008
Last updated Mar 24th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528213790 NPPES
Other 2146844 PK
MEDICAID 500675098 PK

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