Tillamook Pharmacy

LBN: Wilson Drug Inc
Tillamook Pharmacy is an health care organization with primary practice located at 915 Main Ave , Tillamook OR 97141-3815. 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. Wilson Drug Inc can be contacted via phone (503) 842-4181, or through Wilson, David via phone (503) 842-4181.

Contact Information

Primary practice address
915 Main Ave Tillamook OR 97141-3815
Phone: (503) 842-4181
Fax: (503) 842-1147
Website:
Map and Directions
Authorized official contact:
Name: Wilson, David
Phone: (503) 842-4181

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X RP-0000561 Oregon

Profile Details

NPI number 1255477865
LBN Legal business name Wilson Drug Inc
DBA Doing business as Tillamook Pharmacy
Authorized official Wilson, David
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Sep 28th, 2016 - about 10 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 1255477865 NPPES
Oregon MEDICAID 182365
Oregon Other 2077217

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