South Salem Apothecary

LBN: South Salem Apothecary, Llc
South Salem Apothecary is an health care organization with primary practice located at 990 Commercial St Se , Salem OR 97302-4110. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. South Salem Apothecary, Llc can be contacted via phone (503) 967-2407, or through Courtney, Diana via phone (503) 967-2407.

Contact Information

Primary practice address
990 Commercial St Se Salem OR 97302-4110
Phone: (503) 967-2407
Fax: (503) 217-7940
Website:
Map and Directions
Authorized official contact:
Name: Courtney, Diana R PH
Phone: (503) 967-2407

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X RP0002199CS Oregon
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1952358780
LBN Legal business name South Salem Apothecary, Llc
DBA Doing business as South Salem Apothecary
Authorized official Courtney, Diana R PH
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Dec 18th, 2012 - about 12 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 1952358780 NPPES
Other 3841865 OTHER ID NUMBER
MEDICAID 231440 OTHER ID NUMBER

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