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Organization
ROGUE RX INC.
Active
Organization
ROGUE RX INC.
Active
Other names
Cascade Natural Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COREY N DONOVAN (GENERAL MANAGER)
(541) 826-4414
Entity
Organization
Contact information
Practice address
7591 A CRATER LAKE HWY, SUITE A, WHITE CITY, OR 97503
(541) 826-4414
(541) 826-8366
Mailing address
7591 A CRATER LAKE HWY, SUITE A, WHITE CITY, OR 97503
(541) 826-4414
(541) 826-8366
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP-0000588-CS
OR
3336C0003X
Community/Retail Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043229
—
OR
Enumeration date
08/19/2006
Last updated
04/25/2023
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