Organization
OREGON HEALTHCARE PHARMACY SERVICES INC
Active
Other names
OREGON HEALTHCARE PHARMACY SERVICES INC
Organization subpart
No
Provider details
NPI number
Authorized official
MARC MONGAN RPH (PRESIDENT)
(815) 732-1422
Entity
Organization
Contact information
Practice address
1100 PINES RD, OREGON, IL 61061-9653
(815) 732-1422
(815) 732-1532
Mailing address
1100 PINES RD, OREGON, IL 61061-9653
(815) 732-1422
(815) 732-1532
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054.016954
IL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020977
PK
—
Enumeration date
12/18/2006
Last updated
12/06/2016
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