Organization
PEACEHEALTH
Active
Parent organization
PEACEHEALTH
Other names
PeaceHealth Riverbend Outpatient Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEACEHEALTH
Authorized official
BRENNAN DUANE BLACK PHARMD (PHARMACY MANAGER)
(541) 222-5800
Entity
Organization
Contact information
Practice address
3333 RIVERBEND DR, SPRINGFIELD, OR 97477-8800
(541) 222-5800
(541) 431-9149
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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