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Organization
TALENT PHARMACY INC
Active
Organization
TALENT PHARMACY INC
Active
Other names
MEDICAP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENE CHESTER NP, RPH (OWNER)
(541) 535-5843
Entity
Organization
Contact information
Practice address
205 N PACIFIC HWY, TALENT, OR 97540-9637
(541) 535-5843
(541) 535-6362
Mailing address
205 N PACIFIC HWY, TALENT, OR 97540-9637
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
001137
OR
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293064
—
OR
01
—
3810442
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/17/2006
Last updated
03/07/2023
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