Organization
COLUMBIA RIVER PHARMACY
Active
Other names
CARLSONS UMATILLA DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW CEMORE (PHARMACY DIRECTOR)
(541) 481-5444
Entity
Organization
Contact information
Practice address
821 6TH ST, UMATILLA, OR 97882-9513
(541) 922-3281
(541) 922-3760
Mailing address
PO BOX 1497, UMATILLA, OR 97882-1497
(541) 922-3281
(541) 922-3760
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP0000574
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148049
—
OR
01
—
2077643
PK
—
Enumeration date
12/11/2006
Last updated
10/24/2024
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