Pharmblue Oregon Llc

LBN: Pharmblue Oregon Llc
Pharmblue Oregon Llc is an health care organization with primary practice located at 140 S Holly St Suite 1131, Medford OR 97501-3113. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Pharmblue Oregon Llc can be contacted via phone (800) 967-6816, or through Nelson, Michael via phone (724) 779-4720.

Contact Information

Primary practice address
140 S Holly St Suite 1131 Medford OR 97501-3113
Phone: (800) 967-6816
Fax: (855) 570-4895
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Michael
Phone: (724) 779-4720

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X RP-0003221-CS Oregon
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1811349434
LBN Legal business name Pharmblue Oregon Llc
DBA Doing business as Pharmblue Oregon Llc
Authorized official Nelson, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2016
Last updated Mar 23rd, 2017 - about 7 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 1811349434 NPPES
Oregon MEDICAID 1811349434
Oregon Other 2160991

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