# ST. CHARLES HEALTH SYSTEM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Charles Prineville Community Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316839202
- **Authorized official:** KEVIN E RUSSELL (DIRECTOR OF AMBULATORY PHARMACY)
- **Authorized official phone:** (541) 609-0306

## Contact information

- **Practice address:** 198 NE COMBS FLAT RD STE 100, PRINEVILLE, OR 97754-2563
- **Practice address phone:** (541) 706-2972
- **Practice address fax:** (541) 797-5319
- **Mailing address:** 62968 LAYTON AVE STE 4, BEND, OR 97701-8763
- **Mailing address phone:** (541) 706-2972
- **Mailing address fax:** (541) 797-5319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/16/2025
- **Last updated:** 08/06/2025