Organization
ST. CHARLES HEALTH SYSTEM, INC.
Active
Other names
St. Charles Prineville Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN E RUSSELL (DIRECTOR OF AMBULATORY PHARMACY)
(541) 609-0306
Entity
Organization
Contact information
Practice address
198 NE COMBS FLAT RD STE 100, PRINEVILLE, OR 97754-2563
(541) 706-2972
(541) 797-5319
Mailing address
62968 LAYTON AVE STE 4, BEND, OR 97701-8763
(541) 706-2972
(541) 797-5319
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
08/06/2025
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