Campus Drug, INC.
Pharmacy, Compounding Pharmacy in Klamath Falls, OR. Organization (NPI-2).
NPI number1104930833
StatusActive
Last updated in NPPESJul 15, 2008
Details
- NPI
- 1104930833
- Entity type
- Organization (NPI-2)
- Legal business name
- Campus Drug, INC.
- Organization subpart
- No
- Enumeration date
- Aug 19, 2006
- Last updated
- Jul 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0004X | Pharmacy, Compounding Pharmacy | RP-0000892-CS | OR | Yes |
Practice location
2218 Shallock AveKlamath Falls, OR 97601-4290
Phone 541-883-1147 · Fax 541-882-7308
Mailing address
2218 Shallock AveKlamath Falls, OR 97601-4290
Phone 541-883-1147 · Fax 541-882-7308
Authorized official
Sonja C Bryant
Owner
5418831147
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