# COLUMBIA LUTHERAN CHARITIES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Columbia Memorial Hospital Outpatient Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093003667
- **Authorized official:** CHRISTOPHER LAMAN (PHARMACY MANAGER)
- **Authorized official phone:** (503) 338-4011

## Contact information

- **Practice address:** 2120 EXCHANGE ST, STE 101, ASTORIA, OR 97103-3365
- **Practice address phone:** (503) 338-4560
- **Practice address fax:** (503) 338-4559
- **Mailing address:** 2111 EXCHANGE ST, PHARMACY DEPARTMENT, ASTORIA, OR 97103-3329
- **Mailing address phone:** (503) 338-4011
- **Mailing address fax:** (503) 338-7577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | RP-0002649-CS | OR | Yes |

## Other

- **Enumeration date:** 07/18/2011
- **Last updated:** 03/15/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 170989 | — | OR |
| 01 | — | 2130797 | PK | — |
