Organization
MERCY SERVICES CORPORATION
Active
Other names
Parkway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S. KASBERGER (VICE PRESIDENT/CFO)
(541) 677-2458
Entity
Organization
Contact information
Practice address
2475 NW STEWART PKWY, ROSEBURG, OR 97470-1596
(541) 677-2300
(541) 677-2301
Mailing address
2475 NW STEWART PKWY, ROSEBURG, OR 97471-1596
(541) 677-2300
(541) 677-2301
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
161179-13
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277-736
—
OR
Enumeration date
08/31/2006
Last updated
09/30/2008
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