Organization
SEMPERTS REXALL DRUG STORE INC
Active
Other names
SEMPERTS DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY LENIHAN (PRESIDENT)
(541) 572-5010
Entity
Organization
Contact information
Practice address
735 SPRUCE ST, MYRTLE POINT, OR 97458-1154
(541) 572-5010
(541) 572-5507
Mailing address
PO BOX 605, MYRTLE POINT, OR 97458-0605
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP000293
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184903
—
OR
01
—
3802952
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/29/2006
Last updated
07/05/2011
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