Rogue River Pharmacy #1138

LBN: Wsg Corp
Rogue River Pharmacy #1138 is an health care organization with primary practice located at 506 E Main Street , Rogue River OR 97537. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Wsg Corp can be contacted via phone (541) 582-0559, or through Blakeslee, Austin via phone (360) 213-2236.

Contact Information

Primary practice address
506 E Main Street Rogue River OR 97537
Phone: (541) 582-0559
Fax: (541) 582-3045
Website:
Map and Directions
Authorized official contact:
Name: Blakeslee, Austin PHARM.D
Phone: (360) 213-2236

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1013063619
LBN Legal business name Wsg Corp
DBA Doing business as Rogue River Pharmacy #1138
Authorized official Blakeslee, Austin PHARM.D
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated Nov 10th, 2021 - about 4 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 1013063619 NPPES
Oregon MEDICAID 241898
Oregon Other 3842665

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