Drug Mart Pharmacy
LBN: Drug Mart Inc
Drug Mart Pharmacy is an health care organization with primary practice located at 51600 Huntington Rd Ste A, La Pine OR 97739-8887. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Drug Mart Inc can be contacted via phone (541) 536-1111, or through Sandoval, Brandon via phone (541) 536-1111.
Contact Information
Primary practice address
51600 Huntington Rd Ste A
La Pine OR 97739-8887
Phone: (541) 536-1111
Fax: (541) 536-1980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0001239 | Oregon |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1366507782 |
|---|---|
| LBN Legal business name | Drug Mart Inc |
| DBA Doing business as | Drug Mart Pharmacy |
| Authorized official | Sandoval, Brandon |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Nov 14th, 2023 - about 2 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 | 1366507782 | NPPES |
| Oregon | MEDICAID | 043849 | |
| Oregon | Other | 2078266 |
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