Rogue Community Health Pharmacy

LBN: Rogue Community Health
Rogue Community Health Pharmacy is an health care organization with primary practice located at 19 Myrtle Street , Medford OR 97504. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Rogue Community Health can be contacted via phone (541) 842-7747, or through Warnke, Calisa N via phone (541) 842-7642.

Contact Information

Primary practice address
19 Myrtle Street Medford OR 97504
Phone: (541) 842-7747
Fax: (541) 842-7637
Website:
Map and Directions
Authorized official contact:
Name: Warnke, Calisa N
Phone: (541) 842-7642

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X RP0002740CS Oregon

Profile Details

NPI number 1316288616
LBN Legal business name Rogue Community Health
DBA Doing business as Rogue Community Health Pharmacy
Authorized official Warnke, Calisa N
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 12th, 2013
Last updated Oct 15th, 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 1316288616 NPPES
Other 3844607 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 227698 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 500667341 NCPDP PROVIDER IDENTIFICATION NUMBER

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