Organization
BENTON COUNTY
Active
Parent organization
BENTON COUNTY
Other names
Benton County Health Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENTON COUNTY
Authorized official
LACEY MOLLEL (HEALTH DEPARTMENT DIRECTOR)
(541) 766-6835
Entity
Organization
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-2400
(541) 766-0110
Mailing address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
(541) 766-0111
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
RP0002882
OR
3336C0002X
Clinic Pharmacy
Primary
RP0002882CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3845053
NCPDP
—
Enumeration date
05/29/2014
Last updated
05/01/2025
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