Organization
GOOD SAMARITAN HOSPITAL CORVALLIS
Active
Other names
Samaritan Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ALFERD HENNUM (CHIEF EXECUTIVE OFFICER)
(541) 768-5009
Entity
Organization
Contact information
Practice address
3521 NW SAMARITAN DR STE 200, CORVALLIS, OR 97330-4744
(541) 768-5225
(541) 768-5224
Mailing address
2300 NW WALNUT BLVD LOWR LEVEL, CORVALLIS, OR 97330-3538
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
10/29/2021
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