# PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROVIDENCE HEALTH AND SERVICES - OREGON
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760881791
- **Legal business name:** PROVIDENCE HEALTH AND SERVICES - OREGON
- **Authorized official:** JENNI R NELSON PHARMD (PHARMACY MANAGER)
- **Authorized official phone:** (541) 387-8245

## Contact information

- **Practice address:** 810 12TH ST, PHARMACY, HOOD RIVER, OR 97031-1587
- **Practice address phone:** (541) 387-6338
- **Practice address fax:** (541) 387-8213
- **Mailing address:** 810 12TH ST, HOOD RIVER, OR 97031-1587
- **Mailing address phone:** (541) 387-6338
- **Mailing address fax:** (541) 387-8213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | RP-0000830-CS | OR | Yes |

## Other

- **Enumeration date:** 08/14/2014
- **Last updated:** 04/08/2015