NPI 1750787115 · live from the CMS NPI Registry
Community Pharmacy Redmond
Pharmacy, Community/Retail Pharmacy in Redmond, OR. National Provider Identifier 1750787115, active.
NPI record
| NPI | 1750787115 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 1253 Nw Canal Blvd, Redmond, OR 97756 |
| Practice phone | 541-516-3807 |
| Enumerated | November 13, 2014 |
| Last updated | November 13, 2014 |
| Authorized official | Jim Diegel, Ceo |
| Other names | Community Pharmacy Redmond |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | RP002979CS (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.