Organization
COLUMBIA LUTHERAN CHARITIES
Active
Other names
Columbia Memorial Hospital Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER LAMAN (PHARMACY MANAGER)
(503) 338-4011
Entity
Organization
Contact information
Practice address
2120 EXCHANGE ST, STE 101, ASTORIA, OR 97103-3365
(503) 338-4560
(503) 338-4559
Mailing address
2111 EXCHANGE ST, PHARMACY DEPARTMENT, ASTORIA, OR 97103-3329
(503) 338-4011
(503) 338-7577
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP-0002649-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170989
—
OR
01
—
2130797
PK
—
Enumeration date
07/18/2011
Last updated
03/15/2017
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