Stayton Pharmacy, Llc
LBN: Stayton Pharmacy, Llc
Stayton Pharmacy, Llc is an health care organization with primary practice located at 102 Martin Dr Suite A, Stayton OR 97383-1296. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Stayton Pharmacy, Llc can be contacted via phone (503) 769-2616, or through Netland, Jamie via phone (503) 769-2616.
Contact Information
Primary practice address
102 Martin Dr Suite A
Stayton OR 97383-1296
Phone: (503) 769-2616
Fax: (503) 769-9449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 3805011 | Oregon |
Profile Details
| NPI number | 1588685184 |
|---|---|
| LBN Legal business name | Stayton Pharmacy, Llc |
| DBA Doing business as | |
| Authorized official | Netland, Jamie R.PH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Apr 2nd, 2015 - about 11 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 | 1588685184 | NPPES |
| Oregon | MEDICAID | 297159 | |
| Oregon | MEDICAID | 210311 |
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