Organization
ROGUE COMMUNITY HEALTH
Active
Other names
Rogue Community Health White City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMY CERVAN PHARMD (DIRECTOR OF PHARMACY, AO)
(541) 200-6859
Entity
Organization
Contact information
Practice address
8385 DIVISION RD, WHITE CITY, OR 97503-1176
(541) 500-0989
(541) 622-0360
Mailing address
1221 DISK DR, MEDFORD, OR 97501-6638
(541) 200-6859
(541) 622-0360
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP-0003210-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163704
PK
—
05
—
500718132
—
OR
Enumeration date
07/20/2016
Last updated
07/30/2025
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