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:
Map and Directions
Authorized official contact:
Name: Sandoval, Brandon
Phone: (541) 536-1111

Health care specialties

SpecialtyCodeLicense #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 last year

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 1366507782 NPPES
Oregon MEDICAID 043849
Oregon Other 2078266

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