NPI 1184779548 · live from the CMS NPI Registry
Apollo Pharmacy Group, INC.
Pharmacy, Community/Retail Pharmacy in Sutherlin, OR. National Provider Identifier 1184779548, active.
NPI record
| NPI | 1184779548 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 113 E Central Ave., Sutherlin, OR 97479 |
| Practice phone | 541-459-2712 |
| Enumerated | January 24, 2007 |
| Last updated | July 25, 2023 |
| Authorized official | Allen Reece, Pharmacist-In-Charge |
| Other names | Sutherlin Drug |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 517 (OR) |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.