# WEST VALLEY HOSPITAL PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WEST VALLEY HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871829796
- **Legal business name:** WEST VALLEY HOSPITAL
- **Authorized official:** MR. JAMES PARR (EXEC VP AND CFO)
- **Authorized official phone:** (503) 814-2841

## Contact information

- **Practice address:** 525 SE WASHINGTON ST, DALLAS, OR 97338-2834
- **Practice address phone:** (503) 623-8301
- **Mailing address:** PO BOX 378, DALLAS, OR 97338-0378
- **Mailing address phone:** (503) 623-8301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC0060X | Critical Access Hospital | 141461 | OR | — |
| 3336C0003X | Community/Retail Pharmacy | RP0000794CS | OR | Yes |

## Other

- **Enumeration date:** 10/28/2009
- **Last updated:** 04/03/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100112 | — | OR |