Rogue Valley Manor Pharmacy
LBN: Rogue Valley Manor
Rogue Valley Manor Pharmacy is an health care organization with primary practice located at 1250 Mira Mar Ave , Medford OR 97504-5520. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Rogue Valley Manor can be contacted via phone (541) 857-7361, or through Millan, Fred via phone (541) 857-7361.
Contact Information
Primary practice address
1250 Mira Mar Ave
Medford OR 97504-5520
Phone: (541) 857-7361
Fax: (541) 857-7362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | RP0000882 | Oregon |
| Suppliers / Institutional Pharmacy | 3336I0012X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1265572150 |
|---|---|
| LBN Legal business name | Rogue Valley Manor |
| DBA Doing business as | Rogue Valley Manor Pharmacy |
| Authorized official | Millan, Fred RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Apr 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265572150 | NPPES |
| Other | 2078260 | PK | |
| MEDICAID | 385250 | PK |
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