Organization
CENTRAL OREGON PHARMACY ENTERPRISES
Active
Other names
Tumalo Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KERRI ROSENBLATT (PIC)
(541) 617-1000
Entity
Organization
Contact information
Practice address
64683B COOK AVE, BEND, OR 97701-9033
(541) 617-1000
(541) 617-1050
Mailing address
64683B COOK AVE, BEND, OR 97701-9033
(541) 617-1000
(541) 617-1050
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP-0002644-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131171
PK
—
Enumeration date
07/20/2011
Last updated
03/19/2015
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