Organization
GRANTS PASS PHARMACY, INC.
Active
Other names
Grants Pass Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE M BELCHER R.PH (VP OF OPERATIONS)
(541) 476-4262
Entity
Organization
Contact information
Practice address
414 SW 6TH ST, GRANTS PASS, OR 97526-2810
(541) 476-4262
(541) 474-1443
Mailing address
414 SW 6TH ST, GRANTS PASS, OR 97526-2810
(541) 476-4262
(541) 474-1443
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
00225
OR
3336C0004X
Compounding Pharmacy
00225
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076356
—
OR
Enumeration date
12/08/2006
Last updated
08/23/2011
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