SISKIYOU COMMUNITY HEALTH CENTER PHARMACY; NPI #1396141255

Contact Information

SISKIYOU COMMUNITY HEALTH CENTER PHARMACY

25647 REDWOOD HWY
CAVE JUNCTION, OR 97523-9332

Phone: 541-592-4111
Fax: 541-592-3916
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for SISKIYOU COMMUNITY HEALTH CENTER PHARMACY

NPI # 1396141255

LBN Legal business name SISKIYOU COMMUNITY HEALTH CENTER PHARMACY

Authorized official RICHARD BOOTH - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/05/2014

Last updated 10/06/2021 - About 5 years ago

Identifiers

OR	License #	RP-0003008-CS
OR	Medicaid	500679920

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SISKIYOU COMMUNITY HEALTH CENTER PHARMACY

Contact Information

Specialty

Clinic Pharmacy

NPI Profile & details for SISKIYOU COMMUNITY HEALTH CENTER PHARMACY

Reviews for SISKIYOU COMMUNITY HEALTH CENTER PHARMACY