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Organization
SUNRIVER PHARMACY
Active
Organization
SUNRIVER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY LOUIS GILBERT (OWNER)
(541) 621-1953
Entity
Organization
Contact information
Practice address
56890 VENTURE LANE, SUNRIVER, OR 97707
(541) 621-1953
Mailing address
PO BOX 4789, SUNRIVER, OR 97707-1789
(541) 621-1953
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
OR
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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