Organization
QUISENBERRY PHARMACIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN DWIGHT QUISENBERRY (PHARMACIST OWNER)
(503) 364-3336
Entity
Organization
Contact information
Practice address
2345 CENTER ST NE, SALEM, OR 97301-4464
(503) 363-3157
(503) 363-5086
Mailing address
2345 CENTER ST NE, SALEM, OR 97301-4464
(503) 363-3157
(503) 363-5086
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RP-0000534-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161000
—
OR
Enumeration date
10/05/2006
Last updated
08/22/2020
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