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Contact Information

ROGUE DRUG CO.
506 E. MAIN ST.
ROGUE RIVER, OR97537
 Phone: 541-582-0559
 Fax: 541-582-3045
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ROGUE DRUG CO.

NPI # 1992880306
LBN Legal business name ROGUE DRUG CO.
Authorized official JOHNEY MYERS - (PRES/PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
OR License # RP0000477-CS
OR Medicaid 293091
OR Other 3809588 NCPDP/NABP
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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