Organization
SAMARITAN MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH M. CAHILL III (CEO)
(541) 451-7107
Entity
Organization
Contact information
Practice address
845 SW 30TH STREET SUITE 200, CORVALLIS, OR 97331-8629
(541) 768-7702
(541) 768-9785
Mailing address
PO BOX 1809, CORVALLIS, OR 97339-1809
(541) 768-7702
(541) 768-9785
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500687343
—
OR
01
—
NPC-004252
OREGON BOARD OF PHARMACY
OR
Enumeration date
08/11/2014
Last updated
03/07/2018
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