Organization
PHARMACY EXPRESS #74
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK NESTEGARD (DIRECTOR OF NON-FOOD)
(541) 251-0466
Entity
Organization
Contact information
Practice address
150 OROYAN ST, EUGENE, OR 97404
(541) 469-3113
(541) 412-0002
Mailing address
615 5TH ST, BROOKINGS, OR 97415-9199
(541) 251-0466
(541) 412-0002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Enumeration date
01/10/2007
Last updated
08/22/2020
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