Christian'S Downtown Pharmacy

LBN: Downtown Pharmacy Inc
Christian'S Downtown Pharmacy is an health care organization with primary practice located at 333 N Riverside Ave , Medford OR 97501-5937. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Downtown Pharmacy Inc can be contacted via phone (541) 776-0606, or through Wine, Isaac via phone (541) 776-0606.

Contact Information

Primary practice address
333 N Riverside Ave Medford OR 97501-5937
Fax: (541) 776-0404
Website:
Authorized official contact:
Name: Wine, Isaac RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X RP0001965CS Oregon

Profile Details

NPI number 1659312023
LBN Legal business name Downtown Pharmacy Inc
DBA Doing business as Christian'S Downtown Pharmacy
Authorized official Wine, Isaac RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 11th, 2015 - about 9 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 1659312023 NPPES
Other 2079204 PK
MEDICAID 278267 PK

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