NPI 1700280484 · live from the CMS NPI Registry
Asante Three Rivers Medical Center, LLC
Pharmacy, Community/Retail Pharmacy in Grants Pass, OR. National Provider Identifier 1700280484, active.
NPI record
| NPI | 1700280484 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 500 Sw Ramsey Ave, Grants Pass, OR 97527 |
| Practice phone | 541-472-7420 |
| Enumerated | October 9, 2014 |
| Last updated | February 22, 2024 |
| Authorized official | Amy Watson, Director Of Pharmacy Services/Chie |
| Other names | Asante Three Rivers Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | RP0002989CS (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.