Organization
MALHEUR DRUG, INC
Active
Other names
Malheur Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER L. TOLMAN PHARM.D. (PHARMACIST)
(541) 473-3333
Entity
Organization
Contact information
Practice address
198 A ST W, VALE, OR 97918-1302
(541) 473-3333
(541) 473-9689
Mailing address
198 A ST W, VALE, OR 97918-1302
(541) 473-3333
(541) 473-9689
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP-0000577-CS
OR
3336I0012X
Institutional Pharmacy
IP-0001182-CS
OR
3336L0003X
Long Term Care Pharmacy
IP-0001182-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130203
—
OR
01
—
3805263
NCPDP
—
Enumeration date
08/30/2006
Last updated
01/22/2016
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