Oak Tree Pharmacy
LBN: Oak Street Pharmacy, Inc.
Oak Tree Pharmacy is an health care organization with primary practice located at 2940 Commercial St Se , Salem OR 97302-4552. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Oak Street Pharmacy, Inc. can be contacted via phone (503) 585-2877, or through Sherman, John S via phone (503) 585-2877.
Contact Information
Primary practice address
2940 Commercial St Se
Salem OR 97302-4552
Phone: (503) 585-2877
Fax: (503) 585-6007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | RP0000552 | Oregon |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1154336840 |
|---|---|
| LBN Legal business name | Oak Street Pharmacy, Inc. |
| DBA Doing business as | Oak Tree Pharmacy |
| Authorized official | Sherman, John S RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Sep 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154336840 | NPPES |
| Oregon | MEDICAID | 170982 | |
| Oregon | MEDICAID | 231993 | |
| Oregon | Other | 38-09639 |
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