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Organization
ST. CHARLES HEALTH SYSTEMS
Active
Organization
ST. CHARLES HEALTH SYSTEMS
Active
Other names
Community Pharmacy at St. Charles Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JIM DIEGEL (CEO)
(541) 706-7701
Entity
Organization
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-7731
(541) 706-6320
Mailing address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-7731
(541) 706-6320
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP0000901-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269715
—
OR
01
—
368000005
MEDCO
—
Enumeration date
09/20/2006
Last updated
08/30/2013
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