# PEACEHEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PEACEHEALTH
- **Other names:** PeaceHealth Riverbend Outpatient Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972281988
- **Legal business name:** PEACEHEALTH
- **Authorized official:** BRENNAN DUANE BLACK PHARMD (PHARMACY MANAGER)
- **Authorized official phone:** (541) 222-5800

## Contact information

- **Practice address:** 3333 RIVERBEND DR, SPRINGFIELD, OR 97477-8800
- **Practice address phone:** (541) 222-5800
- **Practice address fax:** (541) 431-9149
- **Mailing address:** 1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004

## Taxonomy

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

## Other

- **Enumeration date:** 07/10/2023
- **Last updated:** 07/10/2023