1144343914 NPI number — UNIVERSITY OF OREGON HEALTH CENTER PHARMACY

Table of content: (NPI 1144343914)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144343914 NPI number — UNIVERSITY OF OREGON HEALTH CENTER PHARMACY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY OF OREGON HEALTH CENTER PHARMACY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144343914
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/03/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1232 UNIVERSITY OF OREGON
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EUGENE
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97403-1205
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
541-346-4454
Provider Business Mailing Address Fax Number:
541-346-2749

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1590 E 13TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EUGENE
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97403-1967
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-346-4454
Provider Business Practice Location Address Fax Number:
541-346-2749
Provider Enumeration Date:
04/09/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WENDLAND
Authorized Official First Name:
GREGG
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PHARMACY MANAGER
Authorized Official Telephone Number:
541-346-4454

Provider Taxonomy Codes

  • Taxonomy code: 261QS1000X , with the licence number:  RP-0000196-CS , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)