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Organization
MALHEUR DRUG, INC
Active
Organization
MALHEUR DRUG, INC
Active
Other names
Malheur Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER L. TOLMAN PHARM.D. (PHARMACIST)
(541) 473-3333
Entity
Organization
Contact information
Practice address
198 A ST W, VALE, OR 97918-1302
(541) 473-3333
(541) 473-9689
Mailing address
198 A ST W, VALE, OR 97918-1302
(541) 473-3333
(541) 473-9689
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP-0000577-CS
OR
3336I0012X
Institutional Pharmacy
IP-0001182-CS
OR
3336L0003X
Long Term Care Pharmacy
IP-0001182-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130203
—
OR
01
—
3805263
NCPDP
—
Enumeration date
08/30/2006
Last updated
01/22/2016
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