Columbia River Pharmacy
Organization Active NPI Community/Retail Pharmacy · Boardman, OR
NPI 1154832236 · NPPES record last updated Oct 24, 2024
Key facts
- NPI
- 1154832236
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- RP-0002702 (OR)
- Legal business name
- COLUMBIA RIVER PHARMACY
- Practice address
- 220 S Main St
Boardman, OR 97818 - Phone
- (541) 481-5444
- Fax
- (541) 481-5445
- NPI assigned
- Oct 17, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- COLUMBIA RIVER COMMUNITY HEALTH SERVICES
Authorized official
- Name
- Andrew Cemore
- Title
- Pharmacy Director
- Phone
- (541) 481-5444
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Columbia River Comm HLTH
- Part of
- Columbia River Comm HLTH
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | RP-0002702 | OR | Yes |
Addresses
Primary practice location
220 S Main St
Boardman, OR 97818
Mailing address
PO Box 397
Boardman, OR 97818-0397
Phone (541) 481-7212
Other names
- Columbia River Pharmacy
Other providers in Boardman, OR
- Neal Cole
- David M Collins
- Columbacare Services
- Columbia River Health
- Columbia River Health
- Community Counseling Solutions Dba Star
- Jordan Jess Connell
- Tia M Cook
- Suzanne Leilani Cox
- Stephanie Cronen
All providers in Boardman, OR · Community/Retail Pharmacy in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.