Sutherlin Drug

LBN: J & I Black, Inc.
Sutherlin Drug is an health care organization with primary practice located at 113 E Central Ave , Sutherlin OR 97479-9556. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. J & I Black, Inc. can be contacted via phone (541) 459-2712, or through Black, Ian L via phone (541) 459-2712.

Contact Information

Primary practice address
113 E Central Ave Sutherlin OR 97479-9556
Phone: (541) 459-2712
Fax: (541) 459-9129
Website:
Map and Directions
Authorized official contact:
Name: Black, Ian L B.S., R.PH.
Phone: (541) 459-2712

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH-7673 Oregon

Profile Details

NPI number 1790729077
LBN Legal business name J & I Black, Inc.
DBA Doing business as Sutherlin Drug
Authorized official Black, Ian L B.S., R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2006
Last updated Aug 22nd, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790729077 NPPES
Oregon MEDICAID 126404
Oregon Other 3811557

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