NPI 1104930833 · live from the CMS NPI Registry
Campus Drug, INC.
Pharmacy, Compounding Pharmacy in Klamath Falls, OR. National Provider Identifier 1104930833, active.
NPI record
| NPI | 1104930833 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Compounding Pharmacy 3336C0004X |
| Practice location | 2218 Shallock Ave, Klamath Falls, OR 97601 |
| Practice phone | 541-883-1147 |
| Enumerated | August 19, 2006 |
| Last updated | July 15, 2008 |
| Authorized official | Sonja Bryant, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Compounding Pharmacy primary | 3336C0004X | RP-0000892-CS (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.