# QUISENBERRY PHARMACIES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Quisenberry Pharmacies, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346787629
- **Authorized official:** JONATHAN EDWARD QUISENBERRY (PRESIDENT)
- **Authorized official phone:** (503) 364-3336

## Contact information

- **Practice address:** 150 LIBERTY ST SE, SALEM, OR 97301-3506
- **Practice address phone:** (503) 364-3336
- **Practice address fax:** (503) 364-1474
- **Mailing address:** 150 LIBERTY ST SE, SALEM, OR 97301-3506
- **Mailing address phone:** (503) 364-3336
- **Mailing address fax:** (503) 364-1474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | RP-0000535-CS | OR | Yes |

## Other

- **Enumeration date:** 01/25/2017
- **Last updated:** 08/24/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 161018 | — | OR |
| 01 | — | 2167110 | PK | — |