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Contact Information

GRANTS PASS PHARMACY, INC.
414 SW 6TH ST.
GRANTS PASS, OR97526-2810
 Phone: 541-476-4262
 Fax: 541-474-1443
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GRANTS PASS PHARMACY, INC.

NPI Number 1861773798
LBN Legal business name GRANTS PASS PHARMACY, INC.
Authorized official MICHELE BELCHER - (VP OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 09/06/2011
Last updated 03/07/2023 - About 3 years ago
Identifiers
OR License # 0001164
OR Medicaid 076356
OR Other IP-0001164-CS INSTITUTIONAL DRUG OUTLET WITH CONTROLLED SUBSTANCE REGISTRATON
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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