Organization
OAK STREET PHARMACY, INC.
Active
Other names
Oak Tree Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN S SHERMAN RPH (OWNER)
(503) 585-2877
Entity
Organization
Contact information
Practice address
2940 COMMERCIAL ST SE, SALEM, OR 97302-4552
(503) 585-2877
(503) 585-6007
Mailing address
2940 COMMERCIAL ST SE, SALEM, OR 97302-4552
(503) 585-2877
(503) 585-6007
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP0000552
OR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170982
—
OR
05
—
231993
—
OR
01
—
38-09639
NCPDP
OR
Enumeration date
07/30/2006
Last updated
09/27/2023
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