Organization
GRANTS PASS PHARMACY, INC.
Active
Other names
Grants Pass Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE M BELCHER RPH (VP OF OPERATIONS)
(541) 476-4262
Entity
Organization
Contact information
Practice address
414 SW 6TH ST., GRANTS PASS, OR 97526-2810
(541) 476-4262
(541) 474-1443
Mailing address
414 SW 6TH ST., GRANTS PASS, OR 97526-2810
(541) 476-4262
(541) 474-1443
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
0001164
OR
3336L0003X
Long Term Care Pharmacy
0001164
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076356
—
OR
01
—
IP-0001164-CS
INSTITUTIONAL DRUG OUTLET WITH CONTROLLED SUBSTANCE REGISTRATON
OR
Enumeration date
09/06/2011
Last updated
03/07/2023
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