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Organization
COLUMBIA RIVER PHARMACY
Active
Organization
COLUMBIA RIVER PHARMACY
Active
Other names
CARLSONS UMATILLA DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW CEMORE (PHARMACY DIRECTOR)
(541) 481-5444
Entity
Organization
Contact information
Practice address
821 6TH ST, UMATILLA, OR 97882-9513
(541) 922-3281
(541) 922-3760
Mailing address
PO BOX 1497, UMATILLA, OR 97882-1497
(541) 922-3281
(541) 922-3760
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
RP0000574
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148049
—
OR
01
—
2077643
PK
—
Enumeration date
12/11/2006
Last updated
10/24/2024
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