Organization
DEPT. OF HUMAN SRVCS/OFFICE OF FIN. SRVCS DBA IRS/EOPC/EOTC/OSH/OSH-P
Active
Other names
Eastern Oregon Psychiatric Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL R. KITTRELL (IRS MANAGER)
(509) 945-9440
Entity
Organization
Contact information
Practice address
2600 WESTGATE, PENDLETON, OR 97801-9604
(541) 276-0810
(541) 278-2209
Mailing address
PO BOX 14900, SALEM, OR 97309-5016
(509) 945-9469
(503) 947-1007
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
IP 00000 CS
OR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3842146
NCPDP
OR
Enumeration date
09/12/2006
Last updated
03/07/2023
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