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Prostar Pharmacy Consultants Llc
Managed Care Organization Pharmacy in Coburg, Oregon
NPI 1760564561

Prostar Pharmacy Consultants Llc is a Managed Care Organization Pharmacy based in Coburg, OR and is specialized in Managed Care Organization Pharmacy. Prostar Pharmacy Consultants Llc practices in Coburg, OR. The NPI Number for Prostar Pharmacy Consultants Llc is 1760564561 and holds a License No. RP0002261CS (Oregon).

The current practice location address for Prostar Pharmacy Consultants Llc is 91320 Coburg Industrial Way, Coburg, OR and can be reached out via phone at 541-681-8117 and via fax at 541-681-8164.

Location: 91320 Coburg Industrial Way, Coburg, OR, 97408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760564561
Provider Name
Prostar Pharmacy Consultants Llc
Credential
Provider Entity Type
Organization
Address
91320 Coburg Industrial Way, Coburg, OR, 97408
Phone Number
541-681-8117
Fax Number
541-681-8164
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3842184 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
91320 Coburg Industrial Way
City
Coburg
State
Oregon
Zip
97408
Phone Number
541-681-8117
Fax Number
541-681-8164
person
Provider Business Mailing Address Details
Address
91320 Coburg Industrial Way
City
Coburg
State
Oregon
Zip
97408
Phone Number
541-681-8117
Fax Number
541-681-8164
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
3336M0003X
License No.
RP0002261CS (Oregon)
Definition
A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
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