Hawthorne Park Pharmacy

LBN: Srf Inc
Hawthorne Park Pharmacy is an health care organization with primary practice located at 600 E Jackson St , Medford OR 97504-6706. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Srf Inc can be contacted via phone (541) 773-5345, or through Frost, Steven via phone (541) 773-5345.

Contact Information

Primary practice address
600 E Jackson St Medford OR 97504-6706
Phone: (541) 773-5345
Fax: (541) 779-7293
Website:
Map and Directions
Authorized official contact:
Name: Frost, Steven BS
Phone: (541) 773-5345

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X RP0000318 Oregon
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1295839256
LBN Legal business name Srf Inc
DBA Doing business as Hawthorne Park Pharmacy
Authorized official Frost, Steven BS
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Apr 17th, 2015 - about 9 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 1295839256 NPPES
Oregon MEDICAID 149443
Oregon Other 2077344

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