Confederated Tribes Of Grand Ronde Health & Wellness Center Pharmacy

LBN: Confederated Tribes Of The Grand Ronde Community Of Oregon
Confederated Tribes Of Grand Ronde Health & Wellness Center Pharmacy is an health care organization with primary practice located at 9605 Grand Ronde Rd , Grand Ronde OR 97347-9712. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Confederated Tribes Of The Grand Ronde Community Of Oregon can be contacted via phone (503) 879-2342, or through Wright, Lincoln via phone (503) 879-2299.

Contact Information

Primary practice address
9605 Grand Ronde Rd Grand Ronde OR 97347-9712
Phone: (503) 879-2342
Fax: (503) 879-2030
Website:
Map and Directions
Authorized official contact:
Name: Wright, Lincoln PHARMD
Phone: (503) 879-2299

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1477711802
LBN Legal business name Confederated Tribes Of The Grand Ronde Community Of Oregon
DBA Doing business as Confederated Tribes Of Grand Ronde Health & Wellness Center Pharmacy
Authorized official Wright, Lincoln PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2008
Last updated Jun 16th, 2020 - about 5 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 1477711802 NPPES
Other 2079588 PK

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