Organization
WSG CORP
Active
Other names
Rogue River Pharmacy #1138
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI VEIS (VP OF PHARMACY)
(503) 507-6073
Entity
Organization
Contact information
Practice address
506 E MAIN STREET, ROGUE RIVER, OR 97537
(541) 582-0559
(541) 582-3045
Mailing address
916 W EVERGREEN BLVD, VANCOUVER, WA 98660-3035
(360) 213-2236
(360) 213-2238
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241898
—
OR
01
—
3842665
NCPDP
OR
Enumeration date
01/26/2007
Last updated
12/17/2024
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