MEDICAL PARK PHARMACY
1813 W Harvard Ave Suite 210
Roseburg, OR 97470
541-672-1800
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | OR | RP-0000490-CS |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
005786 | OR | MEDICAID | |
DEA NUMBER | BM4170469 | OTHER | |
NCPDP | 3804437 | OTHER |