Organization
ALBANY GENERAL HOSPITAL
Active
Other names
Geary Street Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID G. TRIEBES MBA (CEO)
(541) 812-4102
Entity
Organization
Contact information
Practice address
1700 GEARY ST SE, ALBANY, OR 97322-6842
(541) 812-5544
Mailing address
1700 GEARY ST SE, ALBANY, OR 97322-6842
(541) 812-5544
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
001557
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP-0001557-CS
PHARMACY
OR
01
—
RP-001557-CS
STATE LICENSE
OR
Enumeration date
01/18/2007
Last updated
11/21/2018
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