# COLUMBIA RIVER PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COLUMBIA RIVER COMMUNITY HEALTH SERVICES
- **Other names:** Columbia River Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154832236
- **Legal business name:** COLUMBIA RIVER COMMUNITY HEALTH SERVICES
- **Authorized official:** ANDREW CEMORE (PHARMACY DIRECTOR)
- **Authorized official phone:** (541) 481-5444

## Contact information

- **Practice address:** 220 S MAIN ST, BOARDMAN, OR 97818
- **Practice address phone:** (541) 481-5444
- **Practice address fax:** (541) 481-5445
- **Mailing address:** PO BOX 397, BOARDMAN, OR 97818-0397
- **Mailing address phone:** (541) 481-7212
- **Mailing address fax:** (541) 481-5400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | RP-0002702 | OR | Yes |

## Other

- **Enumeration date:** 10/17/2017
- **Last updated:** 10/24/2024