Redmond Pharmacy And Compounding Center
LBN: Highland Park Pharmacy Llc
Redmond Pharmacy And Compounding Center is an health care organization with primary practice located at 424 Nw 5Th St , Redmond OR 97756. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Highland Park Pharmacy Llc can be contacted via phone (541) 526-1771, or through Edmondson, Mike via phone (541) 526-1771.
Contact Information
Primary practice address
424 Nw 5Th St
Redmond OR 97756
Phone: (541) 526-1771
Fax: (541) 504-5476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | RP0002394 | Oregon |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1356555460 |
|---|---|
| LBN Legal business name | Highland Park Pharmacy Llc |
| DBA Doing business as | Redmond Pharmacy And Compounding Center |
| Authorized official | Edmondson, Mike RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2007 |
| Last updated | Oct 31st, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356555460 | NPPES |
| Oregon | MEDICAID | 278755 | |
| Oregon | Other | 2079550 |
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