ROGUE VALLEY MANOR

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

ROGUE VALLEY MANOR

1250 MIRA MAR AVE
MEDFORD, OR 97504-5520

Phone: 541-857-7361
Fax: 541-857-7362
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Institutional Pharmacy	3336I0012X	58	Medical Supply Company with Pharmacist
Long Term Care Pharmacy	3336L0003X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for ROGUE VALLEY MANOR

NPI Number 1265572150

LBN Legal business name ROGUE VALLEY MANOR

Authorized official FRED MILLAN - (DIRECTOR OF PHARMACY)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/08/2007

Last updated 04/11/2016 - About 10 years ago

Identifiers

OR	License #	RP0000882
OR	Medicaid	385250
	Other	2078260	PK

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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ROGUE VALLEY MANOR

Contact Information

Specialty

Community/Retail Pharmacy

Institutional Pharmacy

Long Term Care Pharmacy

Pharmacy

NPI Profile & details for ROGUE VALLEY MANOR

Reviews for ROGUE VALLEY MANOR