Organization
TALENT PHARMACY INC
Active
Other names
MEDICAP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENE CHESTER NP, RPH (OWNER)
(541) 535-5843
Entity
Organization
Contact information
Practice address
205 N PACIFIC HWY, TALENT, OR 97540-9637
(541) 535-5843
(541) 535-6362
Mailing address
205 N PACIFIC HWY, TALENT, OR 97540-9637
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
001137
OR
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293064
—
OR
01
—
3810442
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/17/2006
Last updated
03/07/2023
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