National Provider Identifier Database

CONFEDERATED TRIBES OF THE GRAND RONDE COMMUNITY OF OREGON
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

CONFEDERATED TRIBES OF THE GRAND RONDE COMMUNITY OF OREGON
9605 GRAND RONDE RD
GRAND RONDE, OR97347-9712
Phone: 503-879-2342
Fax: 503-879-2030
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for CONFEDERATED TRIBES OF THE GRAND RONDE COMMUNITY OF OREGON

NPI Number 1477711802
Legal business name
LBN
CONFEDERATED TRIBES OF THE GRAND RONDE COMMUNITY OF OREGON
Authorized official LINCOLN WRIGHT - (PHARMACY DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/02/2008
Last updated 08/12/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • Other: 2079588 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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