# ROGUE COMMUNITY HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rogue Community Health White City Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871946376
- **Authorized official:** AMY CERVAN PHARMD (DIRECTOR OF PHARMACY, AO)
- **Authorized official phone:** (541) 200-6859

## Contact information

- **Practice address:** 8385 DIVISION RD, WHITE CITY, OR 97503-1176
- **Practice address phone:** (541) 500-0989
- **Practice address fax:** (541) 622-0360
- **Mailing address:** 1221 DISK DR, MEDFORD, OR 97501-6638
- **Mailing address phone:** (541) 200-6859
- **Mailing address fax:** (541) 622-0360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | RP-0003210-CS | OR | Yes |

## Other

- **Enumeration date:** 07/20/2016
- **Last updated:** 07/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2163704 | PK | — |
| 05 | — | 500718132 | — | OR |