Organization
BANDON PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SWENSON (OWNER)
(503) 347-2222
Entity
Organization
Contact information
Practice address
1225 OREGON AVE, BANDON, OR 97411-0369
(541) 347-2222
(541) 347-4241
Mailing address
PO BOX 369, BANDON, OR 97411-0369
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP0000132
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163063
—
OR
01
—
3807041
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
02/06/2007
Last updated
07/10/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up