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Organization
COLUMBIA LUTHERAN CHARITIES
Active
Organization
COLUMBIA LUTHERAN CHARITIES
Active
Other names
Columbia Memorial Hospital Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER LAMAN (PHARMACY MANAGER)
(503) 338-4011
Entity
Organization
Contact information
Practice address
2120 EXCHANGE ST, STE 101, ASTORIA, OR 97103-3365
(503) 338-4560
(503) 338-4559
Mailing address
2111 EXCHANGE ST, PHARMACY DEPARTMENT, ASTORIA, OR 97103-3329
(503) 338-4011
(503) 338-7577
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
RP-0002649-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170989
—
OR
01
—
2130797
PK
—
Enumeration date
07/18/2011
Last updated
03/15/2017
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