<Unavail>

LBN: Semperts Rexall Drug Store Inc
<Unavail> is an health care organization with primary practice located at 735 Spruce St , Myrtle Point OR 97458-1154. 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. Semperts Rexall Drug Store Inc can be contacted via phone (541) 572-5010, or through Lenihan, Larry via phone (541) 572-5010.

Contact Information

Primary practice address
735 Spruce St Myrtle Point OR 97458-1154
Phone: (541) 572-5010
Fax: (541) 572-5507
Website:
Map and Directions
Authorized official contact:
Name: Lenihan, Larry
Phone: (541) 572-5010

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X RP000293 Oregon

Profile Details

NPI number 1962579540
LBN Legal business name Semperts Rexall Drug Store Inc
DBA Doing business as <Unavail>
Authorized official Lenihan, Larry
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 5th, 2011 - about 15 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 1962579540 NPPES
Oregon MEDICAID 184903
Oregon Other 3802952

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