Shady Cove Pharmacy is an authorized DME supplier for medicare equipments and products.
Shady Cove Pharmacy is a Community/Retail Pharmacy in Shady Cove, Oregon. This pharmacy is owned and operated by Central Drug Store Inc. It is located at 21195 Hwy 62, Shady Cove and it's customer support contact number is 541-878-3151. The authorized person of Shady Cove Pharmacy is Timothy Lichlyter who is President of the pharmacy and his contact number is 541-494-2616. Active license number of Shady Cove Pharmacy is RP0000715CS for Community/Retail Pharmacy in Oregon. Shady Cove Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Shady Cove Pharmacy is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Shady Cove Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Shady Cove Pharmacy
Type:
Community/Retail Pharmacy
Location:
21195 Hwy 62, Shady Cove, Oregon, 97539-9715
Phone:
541-878-3151
Fax:
541-878-8228
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Timothy Lichlyter
Position:
President
Contact Number:
541-494-2616
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1790830446
NPI Enumeration Date:
24 Jan, 2007
NPI Last Update On:
25 Aug, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shady Cove Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
RP0000715CS
Oregon
Primary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3810339
Other
Ncpdp Provider Identification Number
009584
Medicaid
Oregon
Medicare Enrollment:
Shady Cove Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
6608895735
O20051117000213
Central Drug Store Inc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 700, Shady Cove, Oregon
Zip:
97539-0700
Phone Number:
--
Fax Number:
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Patients can reach Shady Cove Pharmacy at 21195 Hwy 62, Shady Cove, Oregon or can call on customer care at 541-878-3151.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Other Pharmacies in Shady Cove, Oregon
No other Pharmacies is available in Shady Cove, OR.