# MEDICAL PARK PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Park United Drug
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447232533
- **Authorized official:** MR. JOHN S SVENDSEN RPH (OWNER/PHARMACIST)
- **Authorized official phone:** (541) 672-1800

## Contact information

- **Practice address:** 1813 W HARVARD AVE, SUITE 210, ROSEBURG, OR 97470-2752
- **Practice address phone:** (541) 672-1800
- **Practice address fax:** (541) 672-5413
- **Mailing address:** 1813 W HARVARD AVE, SUITE 210, ROSEBURG, OR 97470-2752
- **Mailing address phone:** (541) 672-1800
- **Mailing address fax:** (541) 672-5413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | RP-0000490-CS | OR | Yes |

## Other

- **Enumeration date:** 11/15/2005
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 005786 | — | OR |
| 01 | — | 3804437 | NCPDP | — |