Organization
QUISENBERRY PHARMACIES
Active
Other names
Quisenberry Pharmacies, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE QUISENBERRY (PRESIDENT)
(503) 364-3336
Entity
Organization
Contact information
Practice address
150 LIBERTY ST SE, SALEM, OR 97301-3506
(503) 364-3336
(503) 364-1474
Mailing address
150 LIBERTY ST SE, SALEM, OR 97301-3506
(503) 364-3336
(503) 364-1474
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
RP-0000535-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161018
—
OR
01
—
2167110
PK
—
Enumeration date
01/25/2017
Last updated
01/25/2017
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