Organization
CASCADE APOTHECARY INC
Active
Other names
Cascade Custom Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA VALERGA (PRESIDENT)
(541) 389-3671
Entity
Organization
Contact information
Practice address
19550 AMBER MEADOW DR STE 170, BEND, OR 97702-3527
(541) 389-3671
(541) 728-0988
Mailing address
19550 SW AMBER MEADOW DR, STE. 170, BEND, OR 97702
(541) 389-3671
(541) 385-6260
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RP0002541CS
OR
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146844
PK
—
05
—
500675098
—
OR
Enumeration date
12/01/2008
Last updated
03/24/2017
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