Bandon Pharmacy

LBN: Bandon Pharmacy
Bandon Pharmacy is an health care organization with primary practice located at 1225 Oregon Ave , Bandon OR 97411-0369. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bandon Pharmacy can be contacted via phone (541) 347-2222, or through Swenson, David via phone (503) 347-2222.

Contact Information

Primary practice address
1225 Oregon Ave Bandon OR 97411-0369
Phone: (541) 347-2222
Fax: (541) 347-4241
Website:
Map and Directions
Authorized official contact:
Name: Swenson, David
Phone: (503) 347-2222

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X RP0000132 Oregon

Profile Details

NPI number 1427197201
LBN Legal business name Bandon Pharmacy
DBA Doing business as
Authorized official Swenson, David
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 10th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427197201 NPPES
Other 3807041 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 163063 OTHER ID NUMBER-COMMERCIAL NUMBER
Other 3807041 OTHER ID NUMBER-COMMERCIAL NUMBER

Popular Providers