Organization
UMPQUA DRUG CO. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOREN DEAN WARNER R.PH (OWNER)
(541) 271-2139
Entity
Organization
Contact information
Practice address
1941 WINCHESTER AVE, REEDSPORT, OR 97467
(541) 271-2139
(541) 271-0228
Mailing address
1941 WINCHESTER AVE, REEDSPORT, OR 97467
(541) 271-2139
(541) 271-0228
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00480
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291260
—
OR
Enumeration date
05/03/2007
Last updated
05/12/2008
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