Organization
PRESBYTERIAN NURSING HOME
Active
Other names
PHS Long Term Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CATHLEEN SULLIVAN PHARM.D. (EXEC DIR ADMIN)
(541) 889-9133
Entity
Organization
Contact information
Practice address
1085 N OREGON ST, ONTARIO, OR 97914-1549
(541) 889-6157
(541) 889-6148
Mailing address
1085 N OREGON ST, ONTARIO, OR 97914-1549
(541) 889-6157
(541) 889-6148
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
00736
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073874
—
OR
01
—
2078441
PK
—
Enumeration date
08/14/2006
Last updated
12/18/2016
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