Mill City Pharmacy

LBN: Krasar Inc
Mill City Pharmacy is an health care organization with primary practice located at 218 Sw Broadway St , Mill City OR 97360-2411. 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. Krasar Inc can be contacted via phone (503) 897-2331, or through Mickey, Randall via phone (503) 897-2331.

Contact Information

Primary practice address
218 Sw Broadway St Mill City OR 97360-2411
Phone: (503) 897-2331
Fax: (503) 897-2332
Website:
Map and Directions
Authorized official contact:
Name: Mickey, Randall RPH
Phone: (503) 897-2331

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X RP-0000297 Oregon

Profile Details

NPI number 1053456392
LBN Legal business name Krasar Inc
DBA Doing business as Mill City Pharmacy
Authorized official Mickey, Randall RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 19th, 2018 - about 6 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 1053456392 NPPES
Oregon MEDICAID 109546
Oregon Other 2077896

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