Wallowa Pharmacy

LBN: Wallowa Pharmacy
Wallowa Pharmacy is an health care organization with primary practice located at 207 East 1St St. , Wallowa OR 97885. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Wallowa Pharmacy can be contacted via phone (541) 886-2361, or through Foster, Jean Wayne via phone (541) 886-2361.

Contact Information

Primary practice address
207 East 1St St. Wallowa OR 97885
Phone: (541) 886-2361
Fax: (541) 886-6801
Website:
Map and Directions
Authorized official contact:
Name: Foster, Jean Wayne R.PH
Phone: (541) 886-2361

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X RP0000584CS Oregon

Profile Details

NPI number 1730242421
LBN Legal business name Wallowa Pharmacy
DBA Doing business as
Authorized official Foster, Jean Wayne R.PH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Mar 19th, 2008 - about 18 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 1730242421 NPPES
Oregon MEDICAID 179317

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