Organization
TIFFANY-DAVIS DRUG CO.
Active
Other names
Tiffany's Drug #25 (Bi-Mart Pharmacy)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE B. ENGEL R.PH. (PRESIDENT)
(541) 342-2148
Entity
Organization
Contact information
Practice address
4310 HIGHWAY 101, FLORENCE, OR 97439-8832
(541) 997-3099
(541) 997-3299
Mailing address
960 OAK ST, EUGENE, OR 97401-3106
(541) 342-2148
(541) 686-8305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
NPA-0007078
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135751
—
OR
01
—
3812319
NABP
—
Enumeration date
09/15/2006
Last updated
08/22/2020
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