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Contact Information

PEACE HEALTH PHARMACY
1200 HILYARD ST
STE S-110
EUGENE, OR97439-8112
 Phone: 541-349-7630
 Fax: 541-349-7630
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PEACE HEALTH PHARMACY

NPI Number 1811908668
LBN Legal business name PEACE HEALTH PHARMACY
Authorized official DAVID LEGER-JEFFREY - (PHARMICIST IN CHARGE)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2006
Last updated 03/07/2023 - About 3 years ago
Identifiers
OR License # 001133
OR Medicaid 170419
OR Other 001133 STATE LIC #
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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