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Organization
QUISENBERRY HEALTH SYSTEM PHARMACY, LLC
Active
Organization
QUISENBERRY HEALTH SYSTEM PHARMACY, LLC
Active
Other names
Quisenberry Health System Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE QUISENBERRY (OWNER)
(503) 364-3336
Entity
Organization
Contact information
Practice address
148 LIBERTY ST SE, SALEM, OR 97301-3506
(503) 364-3336
Mailing address
150 LIBERTY ST SE, SALEM, OR 97301-3506
(503) 364-3336
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
IP-0002261-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153772
PK
—
Enumeration date
08/31/2015
Last updated
08/31/2015
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