Organization
STANDIFORD INVESTMENTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMAICA STANDIFORD (MANAGER)
(541) 271-3631
Entity
Organization
Contact information
Practice address
1409 HIGHWAY 101 S, REEDSPORT, OR 97467-1605
(541) 271-3631
(541) 271-4855
Mailing address
1409 HIGHWAY 101 S, REEDSPORT, OR 97467-1605
(541) 271-3631
(541) 271-4855
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP-0000475-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170953
—
OR
01
—
2157444
PK
—
Enumeration date
02/21/2007
Last updated
04/20/2017
Update your record
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