# GRANTS PASS PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grants Pass Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457411779
- **Authorized official:** MS. MICHELE M BELCHER R.PH (VP OF OPERATIONS)
- **Authorized official phone:** (541) 476-4262

## Contact information

- **Practice address:** 414 SW 6TH ST, GRANTS PASS, OR 97526-2810
- **Practice address phone:** (541) 476-4262
- **Practice address fax:** (541) 474-1443
- **Mailing address:** 414 SW 6TH ST, GRANTS PASS, OR 97526-2810
- **Mailing address phone:** (541) 476-4262
- **Mailing address fax:** (541) 474-1443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 00225 | OR | Yes |
| 3336C0004X | Compounding Pharmacy | 00225 | OR | — |

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 08/23/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 076356 | — | OR |