Organization
WHEELER PHARMACY INC
Active
Other names
WHEELER PHARMACY HEALTH MART
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY COLLETT RPH (PRESIDENT)
(503) 368-5783
Entity
Organization
Contact information
Practice address
625 NEHALEM BLVD, WHEELER, OR 97147
(503) 368-5783
(503) 368-7595
Mailing address
PO BOX 67, WHEELER, OR 97147-0067
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP0000582CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216655
—
OR
01
—
3805364
OTHER ID NUMBER
—
Enumeration date
03/09/2007
Last updated
09/12/2007
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