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PEACE HEALTH PHARMACY NPI 1811908668


NPI Information

NPI: 1811908668
Provider Name: PEACE HEALTH PHARMACY

Other Name: PEACE HEALTH PHARMACY HILYARD

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

CLIA Number: 38D0903690

Address:
1200 HILYARD ST
STE S-110
EUGENE, OR
ZIP 97439
Phone: (541) 349-7630
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PEACE HEALTH PHARMACY is a clinic pharmacy pharmacy in Eugene, OR. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. PEACE HEALTH PHARMACY NPI is 1811908668. The provider is registered as an organization entity type.
The provider Other Name Is Peace Health Pharmacy Hilyard.

The provider's business location address is:

1200 HILYARD ST
STE S-110
EUGENE, OR
ZIP 97439-112
Phone: (541) 349-7630
Fax: (541) 349-7630

The provider's authorized official is David Leger-jeffrey .
The authorized official title is Pharmicist In Charge and has the following contact phone number (541) 349-7630.

The CLIA number assigned to this NPI record is 38D0903690 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 3/7/2023.


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
13336C0002XPharmacyClinic Pharmacy001133OREGONYes

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
1170419MEDICAIDOREGON
2001133OTHEROREGONSTATE LIC #

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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