NPI 1730830365

Mosaic Medical

Organisation Community/Retail Pharmacy Madras, OR

Practice location

Address: 500 NE a St STE 101, Madras, OR 97741-1842
Phone: (541) 383-3005
Fax: (541) 383-1883
Mailing address: 600 SW Columbia St STE 6150, Bend, OR 97702-1099

Authorised official

Name: Bobbi Jolyne Surplus
Title: Revenue Cycle Manager
Phone: (541) 408-9486

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X

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Registry record

NPI: 1730830365
Entity type: Organization
NPI issued: 14 Jan 2022
Record last updated: 14 Jan 2022

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.