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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952358780 | NPPES |
| Other | 3841865 | OTHER ID NUMBER | |
| MEDICAID | 231440 | OTHER ID NUMBER |
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