Organization
MEDICAL PARK PHARMACY
Active
Other names
Medical Park United Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN S SVENDSEN RPH (OWNER/PHARMACIST)
(541) 672-1800
Entity
Organization
Contact information
Practice address
1813 W HARVARD AVE, SUITE 210, ROSEBURG, OR 97470-2752
(541) 672-1800
(541) 672-5413
Mailing address
1813 W HARVARD AVE, SUITE 210, ROSEBURG, OR 97470-2752
(541) 672-1800
(541) 672-5413
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP-0000490-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005786
—
OR
01
—
3804437
NCPDP
—
Enumeration date
11/15/2005
Last updated
03/07/2023
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