Central Drug Store INC
NPI #1790830446 in Shady Cove, Oregon
Provider Information
- NPI Number
- 1790830446
- Entity Type
- Organization
- Organization Name
- Central Drug Store INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 24, 2007
- Last Updated
- Aug 25, 2010
Practice Location
- Address
- 21195 HWY 62
- City
- Shady Cove
- State
- Oregon
- ZIP Code
- 97539-9715
- Phone
- (541) 878-3151
Authorized Official
- Name
- TIMOTHY LICHLYTER
- Title
- PRESIDENT
- Phone
- (541) 494-2616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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