Organization
ST. CHARLES HEALTH SYSTEMS
Active
Other names
Community Pharmacy at St. Charles Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JIM DIEGEL (CEO)
(541) 706-7701
Entity
Organization
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-7731
(541) 706-6320
Mailing address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-7731
(541) 706-6320
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP0000901-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269715
—
OR
01
—
368000005
MEDCO
—
Enumeration date
09/20/2006
Last updated
08/30/2013
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