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Organization
WHEELER PHARMACY INC
Active
Organization
WHEELER PHARMACY INC
Active
Other names
WHEELER PHARMACY HEALTH MART
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY COLLETT RPH (PRESIDENT)
(503) 368-5783
Entity
Organization
Contact information
Practice address
625 NEHALEM BLVD, WHEELER, OR 97147
(503) 368-5783
(503) 368-7595
Mailing address
PO BOX 67, WHEELER, OR 97147-0067
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
RP0000582CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216655
—
OR
01
—
3805364
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
03/09/2007
Last updated
09/12/2007
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