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Organization
CENTRAL OREGON PHARMACY AND COMPOUNDING
Active
Organization
CENTRAL OREGON PHARMACY AND COMPOUNDING
Active
Other names
Central Oregon Pharmacy and Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN COOPER (OWNER-PHARMACIST)
(541) 548-1066
Entity
Organization
Contact information
Practice address
655 NW GREENWOOD AVE STE 1, REDMOND, OR 97756-1672
(541) 548-1066
(541) 548-1067
Mailing address
655 NW GREENWOOD AVE STE 1, REDMOND, OR 97756-1672
(541) 548-1066
(541) 548-1067
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
RP-0003153-CS
OR
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159559
PK
—
05
—
500705645
—
OR
Enumeration date
12/04/2015
Last updated
03/10/2017
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