# ROGUE RX INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cascade Natural Health Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003921453
- **Authorized official:** MR. COREY N DONOVAN (GENERAL MANAGER)
- **Authorized official phone:** (541) 826-4414

## Contact information

- **Practice address:** 7591 A CRATER LAKE HWY, SUITE A, WHITE CITY, OR 97503
- **Practice address phone:** (541) 826-4414
- **Practice address fax:** (541) 826-8366
- **Mailing address:** 7591 A CRATER LAKE HWY, SUITE A, WHITE CITY, OR 97503
- **Mailing address phone:** (541) 826-4414
- **Mailing address fax:** (541) 826-8366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | RP-0000588-CS | OR | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 04/25/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 043229 | — | OR |