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Contact Information

ACHTERHOF HEALTHCARE PHARMACY, LLC
3120 STATE ST
MEDFORD, OR97504-8450
 Phone: 866-367-8701
 Fax: 866-367-8702
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ACHTERHOF HEALTHCARE PHARMACY, LLC

NPI # 1003685819
LBN Legal business name ACHTERHOF HEALTHCARE PHARMACY, LLC
Authorized official RANDALL KLEMM - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/21/2023
Last updated 12/21/2023 - About 2 years ago
Identifiers n/a
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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