Grants Pass Pharmacy

LBN: Grants Pass Pharmacy, Inc.
Grants Pass Pharmacy is an health care organization with primary practice located at 414 Sw 6Th St , Grants Pass OR 97526-2810. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Grants Pass Pharmacy, Inc. can be contacted via phone (541) 476-4262, or through Belcher, Michele M via phone (541) 476-4262.

Contact Information

Primary practice address
414 Sw 6Th St Grants Pass OR 97526-2810
Phone: (541) 476-4262
Fax: (541) 474-1443
Website:
Map and Directions
Authorized official contact:
Name: Belcher, Michele M R.PH
Phone: (541) 476-4262

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 00225 Oregon
Suppliers / Compounding Pharmacy 3336C0004X 00225 Oregon

Profile Details

NPI number 1457411779
LBN Legal business name Grants Pass Pharmacy, Inc.
DBA Doing business as Grants Pass Pharmacy
Authorized official Belcher, Michele M R.PH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2006
Last updated Aug 23rd, 2011 - about 13 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 1457411779 NPPES
Oregon MEDICAID 076356

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