Oregon Cvs Pharmacy LLC

NPI #1801818521 in Keizer, Oregon

Provider Information

NPI Number: 1801818521
Entity Type: Organization
Organization Name: Oregon Cvs Pharmacy LLC
Primary Specialty: Pharmacy
Enumeration Date: Jul 24, 2006
Last Updated: Dec 13, 2016

Practice Location

Address: 6450 KEIZER STATION BLVD NE
City: Keizer
State: Oregon
ZIP Code: 97303-1695
Phone: (503) 856-0614

Authorized Official

Name: SUSAN COLBERT
Title: SR. DIRECTOR, PAYER RELATIONS
Phone: (401) 770-2751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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