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Organization
DRUG MART PHARMACY INC
Active
Organization
DRUG MART PHARMACY INC
Active
Other names
DRUG MART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON SANDOVAL (OWNER)
(541) 536-1111
Entity
Organization
Contact information
Practice address
51600 HUNTINGTON RD, STE A, LA PINE, OR 97739-8887
(541) 536-1111
(541) 536-1980
Mailing address
PO BOX 159, LA PINE, OR 97739-0159
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
0001239
OR
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043849
—
OR
01
—
2078266
PK
—
Enumeration date
12/26/2006
Last updated
09/29/2025
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