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Organization
OREGON HEALTHCARE PHARMACY SERVICES INC
Active
Organization
OREGON HEALTHCARE PHARMACY SERVICES INC
Active
Other names
OREGON HEALTHCARE PHARMACY SERVICES INC
Organization subpart
No
Provider details
NPI number
Authorized official
MARC MONGAN RPH (PRESIDENT)
(815) 732-1422
Entity
Organization
Contact information
Practice address
1100 PINES RD, OREGON, IL 61061-9653
(815) 732-1422
(815) 732-1532
Mailing address
1100 PINES RD, OREGON, IL 61061-9653
(815) 732-1422
(815) 732-1532
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054.016954
IL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020977
PK
—
Enumeration date
12/18/2006
Last updated
12/06/2016
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