NPI 1588685184

Stayton Pharmacy, LLC

Organisation Community/Retail Pharmacy Stayton, OR

Practice location

Address: 102 Martin Dr Suite a, Stayton, OR 97383-1296
Phone: (503) 769-2616
Fax: (503) 769-9449

Authorised official

Name: Jamie Netland
Title: Owner
Phone: (503) 769-2616

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 3805011 (OR)

Other Pharmacy providers in Oregon →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1588685184
Entity type: Organization
NPI issued: 21 Jul 2006
Record last updated: 2 Apr 2015

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.