# GOOD SHEPHERD MEDICAL SERVICE CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GOOD SHEPHERD CLINIC PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598831257
- **Authorized official:** JONATHAN EDWARDS (COO/CFO)
- **Authorized official phone:** (541) 667-3412

## Contact information

- **Practice address:** 600 NW 11TH STREET, SUITE E04, HERMISTON, OR 97838
- **Practice address phone:** (541) 667-3652
- **Practice address fax:** (541) 667-3649
- **Mailing address:** 600 NW 11TH ST STE E04, HERMISTON, OR 97838-8605
- **Mailing address phone:** (541) 667-3652
- **Mailing address fax:** (541) 667-3649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | RP0001660CS | OR | Yes |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 08/14/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2078900 | PK | — |
| 05 | — | 500400205 | — | OR |