# CONFEDERATED TRIBES OF GRAND RONDE COMMUNITY OF OREGON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Great Circle Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588495436
- **Authorized official:** KELLY D ROWE (EXECUTIVE DIRECTOR HEALTH SERVICES)
- **Authorized official phone:** (503) 879-2075

## Contact information

- **Practice address:** 1011 COMMERCIAL ST NE STE D, SALEM, OR 97301-1049
- **Practice address phone:** (503) 879-2299
- **Mailing address:** 1011 COMMERCIAL ST NE STE D, SALEM, OR 97301-1049
- **Mailing address phone:** (503) 879-2299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/12/2024
- **Last updated:** 08/15/2024