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NPI 1689086381 · live from the CMS NPI Registry

Benton County

Pharmacy, Clinic Pharmacy in Corvallis, OR. National Provider Identifier 1689086381, active.

NPI record

NPI1689086381 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Clinic Pharmacy 3336C0002X
Practice location530 Nw 27th St, Corvallis, OR 97330
Practice phone541-766-2400
EnumeratedMay 29, 2014
Last updatedMay 1, 2025
Authorized officialLacey Mollel, Health Department Director
Other namesBenton County Health Department

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacy333600000XRP0002882 (OR)
Pharmacy, Clinic Pharmacy primary3336C0002XRP0002882CS (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.