NPI 1063756393

South Salem Apothecary LLC

Organisation Community/Retail Pharmacy Salem, OR

Practice location

Address: 990 Commercial St SE, Salem, OR 97302-4110
Phone: (503) 967-2405
Fax: (503) 217-7940

Authorised official

Name: Diana Courtney
Title: Owner
Phone: (503) 967-2405

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence RP0002754CS (OR)

Other Pharmacy providers in Oregon →

Compounding Pharmacy

Suppliers Taxonomy 3336C0004X

Registry record

NPI: 1063756393
Entity type: Organization
NPI issued: 27 Nov 2012
Record last updated: 19 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.