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Organization
ALBANY GENERAL HOSPITAL
Active
Organization
ALBANY GENERAL HOSPITAL
Active
Other names
Geary Street Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID G. TRIEBES MBA (CEO)
(541) 812-4102
Entity
Organization
Contact information
Practice address
1700 GEARY ST SE, ALBANY, OR 97322-6842
(541) 812-5544
Mailing address
1700 GEARY ST SE, ALBANY, OR 97322-6842
(541) 812-5544
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
001557
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP-0001557-CS
PHARMACY
OR
01
—
RP-001557-CS
STATE LICENSE
OR
Enumeration date
01/18/2007
Last updated
11/21/2018
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