Groves Pharmacy is a health care provider in Sweet Home, OR. In this page you will find its mailing address, practice location, phone number, specialty etc.
Basic Information| Practice Location | 1301 Main St, Sweet Home, OR 97386-1611, US | ||
|---|---|---|---|
| Practice Location Phone | 541-367-2149 | ||
| Practice Location Fax | 541-367-3450 | ||
| Legal Business Name | GROVES PHARMACY | ||
| NPI ? | 1104920164 | ||
| Entity Type | Organization | ||
| Enumeration Date ? | Sep 12, 2006 | ||
| Last Update Date ? | Jul 8, 2007 | ||
| Note: NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS). | |||
Specialties & Licenses of Groves Pharmacy| Specialty | Provider Type | Specialization | License | License State |
|---|---|---|---|---|
| Pharmacy | Suppliers | RP0000556CS | Oregon | |
| Pharmacy | Suppliers | Community/Retail Pharmacy | ||
Legacy Provider IDs of Groves Pharmacy| Provider Id | Issuer State | Issuer Type | Issuer |
|---|---|---|---|
| 3805100 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 165631 | Oregon | Medicaid | |
Authorized Official of Groves PharmacyAn authorized official is an appointed official with the legal authority to make changes and/or updates to the Groves Pharmacy's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
| Authorized Official | Ronnie Hill |
|---|---|
| Authorized Official Title/Position | OWNER |
| Authorized Official Phone Number | 841-367-2149 |
