# SEMPERTS REXALL DRUG STORE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SEMPERTS DRUG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962579540
- **Authorized official:** LARRY LENIHAN (PRESIDENT)
- **Authorized official phone:** (541) 572-5010

## Contact information

- **Practice address:** 735 SPRUCE ST, MYRTLE POINT, OR 97458-1154
- **Practice address phone:** (541) 572-5010
- **Practice address fax:** (541) 572-5507
- **Mailing address:** PO BOX 605, MYRTLE POINT, OR 97458-0605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | RP000293 | OR | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 07/05/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 184903 | — | OR |
| 01 | — | 3802952 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |