Organization
GOOD SHEPHERD MEDICAL SERVICE CORP
Active
Other names
GOOD SHEPHERD CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN EDWARDS (COO/CFO)
(541) 667-3412
Entity
Organization
Contact information
Practice address
600 NW 11TH STREET, SUITE E04, HERMISTON, OR 97838
(541) 667-3652
(541) 667-3649
Mailing address
600 NW 11TH ST STE E04, HERMISTON, OR 97838-8605
(541) 667-3652
(541) 667-3649
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP0001660CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2078900
PK
—
05
—
500400205
—
OR
Enumeration date
11/27/2006
Last updated
08/14/2026
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