Organization
LOWER UMPQUA HOSPITAL DISTRICT
Active
Other names
LOWER UMPQUA HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNATHON CHIVERS (CEO)
(541) 271-6313
Entity
Organization
Contact information
Practice address
312 FIR AVE, REEDSPORT, OR 97467-1425
(541) 271-6370
(541) 271-6369
Mailing address
600 RANCH RD, REEDSPORT, OR 97467-1720
(541) 271-6370
(541) 271-6380
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP0002535
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278932
—
OR
01
—
3842918
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/10/2007
Last updated
12/19/2025
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