Organization
RED CROSS UNITED DRUG INC
Active
Other names
RED CROSS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH MARIE COULTER (PHARMACY MANAGER)
(541) 963-5741
Entity
Organization
Contact information
Practice address
1123 ADAMS AVE, LA GRANDE, OR 97850-2692
(541) 963-5741
(541) 963-6332
Mailing address
1123 ADAMS AVE, LA GRANDE, OR 97850-2692
(541) 963-5741
(541) 963-6332
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP0000277
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2077885
PK
—
05
—
283713
—
OR
Enumeration date
08/31/2006
Last updated
05/31/2022
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