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Organization
SEMPERTS REXALL DRUG STORE INC
Active
Organization
SEMPERTS REXALL DRUG STORE INC
Active
Other names
SEMPERTS DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY LENIHAN (PRESIDENT)
(541) 572-5010
Entity
Organization
Contact information
Practice address
735 SPRUCE ST, MYRTLE POINT, OR 97458-1154
(541) 572-5010
(541) 572-5507
Mailing address
PO BOX 605, MYRTLE POINT, OR 97458-0605
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
RP000293
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184903
—
OR
01
—
3802952
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/29/2006
Last updated
07/05/2011
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