# ASANTE THREE RIVERS MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Asante Three Rivers Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700280484
- **Authorized official:** AMY WATSON (DIRECTOR OF PHARMACY SERVICES/CHIE)
- **Authorized official phone:** (541) 789-5031

## Contact information

- **Practice address:** 500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
- **Practice address phone:** (541) 472-7420
- **Practice address fax:** (541) 472-7421
- **Mailing address:** 500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
- **Mailing address phone:** (541) 472-7420
- **Mailing address fax:** (541) 472-7421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | RP0002989CS | OR | Yes |

## Other

- **Enumeration date:** 10/09/2014
- **Last updated:** 02/22/2024