Malheur Drug

LBN: Malheur Drug, Inc
Malheur Drug is an health care organization with primary practice located at 198 A St W , Vale OR 97918-1302. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Malheur Drug, Inc can be contacted via phone (541) 473-3333, or through Tolman, Jennifer L. via phone (541) 473-3333.

Contact Information

Primary practice address
198 A St W Vale OR 97918-1302
Phone: (541) 473-3333
Fax: (541) 473-9689
Website:
Map and Directions
Authorized official contact:
Name: Tolman, Jennifer L. PHARM.D.
Phone: (541) 473-3333

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X RP-0000577-CS Oregon
Suppliers / Institutional Pharmacy 3336I0012X IP-0001182-CS Oregon
Suppliers / Long Term Care Pharmacy 3336L0003X IP-0001182-CS Oregon

Profile Details

NPI number 1326158585
LBN Legal business name Malheur Drug, Inc
DBA Doing business as Malheur Drug
Authorized official Tolman, Jennifer L. PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 22nd, 2016 - about 8 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 1326158585 NPPES
Oregon MEDICAID 130203
Oregon Other 3805263

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