Organization
ROGUE COMMUNITY HEALTH
Active
Parent organization
ROGUE COMMUNITY HEALTH
Other names
Rogue Community Health Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROGUE COMMUNITY HEALTH
Authorized official
MR. CALISA N WARNKE (CFO)
(541) 842-7642
Entity
Organization
Contact information
Practice address
19 MYRTLE STREET, MEDFORD, OR 97504
(541) 842-7747
(541) 842-7637
Mailing address
1221 DISK DR, MEDFORD, OR 97501-6638
(541) 842-7747
(541) 842-7637
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP0002740CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227698
—
OR
01
—
3844607
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
500667341
—
OR
Enumeration date
03/12/2013
Last updated
07/30/2025
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