Cow Creek Health and Wellness Clinic Pharmacy

NPI #1639036916 in Roseburg, Oregon

Provider Information

NPI Number: 1639036916
Entity Type: Organization
Organization Name: Cow Creek Health and Wellness Clinic Pharmacy
Subpart: Yes (part of a larger organization)
Parent Organization: COW CREEK HEALTH AND WELLNESS CLINIC
Primary Specialty: Pharmacist
Enumeration Date: Jan 7, 2026
Last Updated: Jan 7, 2026

Practice Location

Address: 2589 NW EDENBOWER BLVD
City: Roseburg
State: Oregon
ZIP Code: 97471-6224
Phone: (541) 677-5544

Authorized Official

Name: MS. TILLIE ANN HENRY, ED.D
Title: HEALTH OPERATIONS ADMINISTRATOR
Phone: (541) 677-5510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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