NPI 1154832236 · live from the CMS NPI Registry
Columbia River Pharmacy
Pharmacy, Community/Retail Pharmacy in Boardman, OR. National Provider Identifier 1154832236, active.
NPI record
| NPI | 1154832236 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 220 S Main St, Boardman, OR 97818 |
| Practice phone | 541-481-5444 |
| Mailing address | Po Box 397, Boardman, OR 97818 |
| Enumerated | October 17, 2017 |
| Last updated | October 24, 2024 |
| Authorized official | Andrew Cemore, Pharmacy Director |
| Other names | Columbia River Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | RP-0002702 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.