Organization
MID-VALLEY HEALTHCARE, INC.
Active
Other names
Samaritan OMT Lebanon, Samaritan Lebanon Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH M CAHILL (CEO)
(541) 557-6441
Entity
Organization
Contact information
Practice address
675 N 5TH ST, LEBANON, OR 97355-2875
(541) 451-6410
Mailing address
675 N 5TH ST, LEBANON, OR 97355-2875
(541) 451-7991
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IP-0002226-CS
OR BOARD OF PHARMACY
OR
Enumeration date
07/11/2011
Last updated
11/21/2018
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