Organization
QUISENBERRY PHARMACIES INC.
Active
Other names
Quisenberry Pharmacies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN D QUISENBERRY (OWNER PHARMACIST)
(503) 364-3336
Entity
Organization
Contact information
Practice address
150 LIBERTY ST SE, SALEM, OR 97301-3506
(503) 364-3336
(503) 364-1474
Mailing address
150 LIBERTY ST SE, SALEM, OR 97301-3506
(503) 364-3336
(503) 364-1474
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
RP-0000535-CS
OR
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161018
—
OR
Enumeration date
10/19/2006
Last updated
01/07/2022
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