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Organization
SKY LAKES MEDICAL CENTER INC
Active
Organization
SKY LAKES MEDICAL CENTER INC
Active
Parent organization
SKY LAKES MEDICAL CENTER INC
Other names
Sky Lakes Specialty Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SKY LAKES MEDICAL CENTER INC
Authorized official
RICHARD E RICO (VP / CFO)
(541) 274-6150
Entity
Organization
Contact information
Practice address
2865 DAGGETT AVE STE B, KLAMATH FALLS, OR 97601-1106
(541) 274-3760
(541) 274-3765
Mailing address
2865 DAGGETT AVE STE B, KLAMATH FALLS, OR 97601-1106
(541) 274-3760
(541) 274-3765
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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