Organization
CENTRAL OREGON PHARMACY AND COMPOUNDING
Active
Other names
Central Oregon Pharmacy and Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN COOPER (OWNER-PHARMACIST)
(541) 548-1066
Entity
Organization
Contact information
Practice address
655 NW GREENWOOD AVE STE 1, REDMOND, OR 97756-1672
(541) 548-1066
(541) 548-1067
Mailing address
655 NW GREENWOOD AVE STE 1, REDMOND, OR 97756-1672
(541) 548-1066
(541) 548-1067
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP-0003153-CS
OR
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159559
PK
—
05
—
500705645
—
OR
Enumeration date
12/04/2015
Last updated
03/10/2017
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