Organization
DRUG MART PHARMACY INC
Active
Other names
DRUG MART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON SANDOVAL (OWNER)
(541) 536-1111
Entity
Organization
Contact information
Practice address
51600 HUNTINGTON RD, STE A, LA PINE, OR 97739-8887
(541) 536-1111
(541) 536-1980
Mailing address
PO BOX 159, LA PINE, OR 97739-0159
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0001239
OR
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043849
—
OR
01
—
2078266
PK
—
Enumeration date
12/26/2006
Last updated
09/29/2025
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