<Unavail>

LBN: Rogue Rx Inc.
<Unavail> is an health care organization with primary practice located at 7591 A Crater Lake Hwy Suite A, White City OR 97503. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Rogue Rx Inc. can be contacted via phone (541) 826-4414, or through Donovan, Corey N via phone (541) 826-4414.

Contact Information

Primary practice address
7591 A Crater Lake Hwy Suite A White City OR 97503
Phone: (541) 826-4414
Fax: (541) 826-8366
Website:
Map and Directions
Authorized official contact:
Name: Donovan, Corey N
Phone: (541) 826-4414

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Community/Retail Pharmacy 3336C0003X RP-0000588-CS Oregon

Profile Details

NPI number 1003921453
LBN Legal business name Rogue Rx Inc.
DBA Doing business as <Unavail>
Authorized official Donovan, Corey N
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated Apr 25th, 2023 - about 3 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 1003921453 NPPES
Oregon MEDICAID 043229

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