# COLUMBIA RIVER PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CARLSONS UMATILLA DRUG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558421529
- **Authorized official:** MR. ANDREW CEMORE (PHARMACY DIRECTOR)
- **Authorized official phone:** (541) 481-5444

## Contact information

- **Practice address:** 821 6TH ST, UMATILLA, OR 97882-9513
- **Practice address phone:** (541) 922-3281
- **Practice address fax:** (541) 922-3760
- **Mailing address:** PO BOX 1497, UMATILLA, OR 97882-1497
- **Mailing address phone:** (541) 922-3281
- **Mailing address fax:** (541) 922-3760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | RP0000574 | OR | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 10/24/2024