Organization
WOODBURN HEALTH CENTER PHARMACY
Active
Other names
SILVERTON HEALTH DBA WOODBURN HEALTH CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MYRNA ROBINSON (PHARMACY MANAGER)
(503) 873-1573
Entity
Organization
Contact information
Practice address
1475 MOUNT HOOD AVE, WOODBURN, OR 97071-9066
(971) 983-5290
(971) 216-0090
Mailing address
342 FAIRVIEW ST, SILVERTON, OR 97381
(503) 873-1570
(503) 873-1609
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP0002837CS
OR
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000146
—
OR
01
—
2143007
PK
—
Enumeration date
12/04/2013
Last updated
12/04/2013
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