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Contact Information

CENTRAL DRUG STORE INC.
2924 SISKIYOU BLVD STE 102
MEDFORD, OR97504-8194
 Phone: 541-773-5356
 Fax: 541-770-2999
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CENTRAL DRUG STORE INC.

NPI Number 1124847074
LBN Legal business name CENTRAL DRUG STORE INC.
Authorized official JEFFREY HARRELL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/08/2024
Last updated 12/20/2025 - About 6 months 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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