Peacehealth Riverbend Outpatient Pharmacy

LBN: Peacehealth Medical Group
Peacehealth Riverbend Outpatient Pharmacy is an health care organization with primary practice located at 3333 Riverbend Dr , Springfield OR 97477-8800. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Peacehealth Medical Group can be contacted via phone (541) 222-5800, or through Black, Brennan Duane via phone (541) 222-5800.

Contact Information

Primary practice address
3333 Riverbend Dr Springfield OR 97477-8800
Fax: (541) 431-9149
Website:
Authorized official contact:
Name: Black, Brennan Duane PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X RP-0000785-CS Oregon
Suppliers / Community/Retail Pharmacy 3336C0003X PHAO1124 Alaska
Suppliers / Specialty Pharmacy 3336S0011X PHNR.FO.60259219 Washington

Profile Details

NPI number 1922018639
LBN Legal business name Peacehealth Medical Group
DBA Doing business as Peacehealth Riverbend Outpatient Pharmacy
Authorized official Black, Brennan Duane PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2006
Last updated Sep 11th, 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 1922018639 NPPES
Oregon MEDICAID 053967
Oregon Other 2077299

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