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Organization
GOOD SAMARITAN HOSPITAL CORVALLIS
Active
Organization
GOOD SAMARITAN HOSPITAL CORVALLIS
Active
Other names
Samaritan Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ALFERD HENNUM (CHIEF EXECUTIVE OFFICER)
(541) 768-5009
Entity
Organization
Contact information
Practice address
3521 NW SAMARITAN DR STE 200, CORVALLIS, OR 97330-4744
(541) 768-5225
(541) 768-5224
Mailing address
2300 NW WALNUT BLVD LOWR LEVEL, CORVALLIS, OR 97330-3538
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
09/08/2021
Last updated
10/29/2021
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