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South Salem Apothecary Llc
Compounding Pharmacy in Salem, Oregon
NPI 1063756393

South Salem Apothecary Llc is a Compounding Pharmacy based in Salem, OR and is specialized in Compounding Pharmacy. South Salem Apothecary Llc practices in Salem, OR. The NPI Number for South Salem Apothecary Llc is 1063756393 and holds a License No. RP0002754CS (Oregon).

The current practice location address for South Salem Apothecary Llc is 990 Commercial St Se, Salem, OR and can be reached out via phone at 503-967-2405 and via fax at 503-217-7940.

Location: 990 Commercial St Se, Salem, OR, 97302-4110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063756393
Provider Name
South Salem Apothecary Llc
Credential
Provider Entity Type
Organization
Address
990 Commercial St Se, Salem, OR, 97302-4110
Phone Number
503-967-2405
Fax Number
503-217-7940
Provider Enumeration Date
11/27/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3844532 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
990 Commercial St Se
City
Salem
State
Oregon
Zip
97302-4110
Phone Number
503-967-2405
Fax Number
503-217-7940
person
Provider Business Mailing Address Details
Address
990 Commercial St Se
City
Salem
State
Oregon
Zip
97302-4110
Phone Number
503-967-2405
Fax Number
503-217-7940
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
RP0002754CS (Oregon)
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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