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TIFFANY-DAVIS DRUG CO. NPI 1508962317


NPI Information

NPI: 1508962317
Provider Name: TIFFANY-DAVIS DRUG CO.

Doing Business As: TIFFANY'S GOLD CROSS DRUG #90

Classification: Pharmacist - 183500000X
Entity Type: Organization
Address:
960 OAK ST
EUGENE, OR
ZIP 97401
Phone: (541) 686-8304
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TIFFANY-DAVIS DRUG CO. is a pharmacist in Eugene, OR. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. TIFFANY-DAVIS DRUG CO. NPI is 1508962317. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tiffany's Gold Cross Drug #90.

The provider's business location address is:

960 OAK ST
EUGENE, OR
ZIP 97401-106
Phone: (541) 686-8304
Fax: (541) 686-8522

The provider's authorized official is Dale B. Engel .
The authorized official title is President and has the following contact phone number (541) 342-2148.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacistNPA0006963OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13801669OTHERNABP
2198721MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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