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Phoenix Downtown Pharmacy LLC — NPI 1063495596, Phoenix, OR | NPI Central

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NPI 1063495596

OrganizationActive

Phoenix Downtown Pharmacy LLC

NPI 1063495596 · Community/Retail Pharmacy · Phoenix, OR

Provider details

NPI number: 1063495596
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Benjamin Egendoerfer, Owner(541) 301-1473

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003XLicense RP-0000299-CS (OR)
Suppliers
Pharmacy333600000X
Suppliers

Practice location

404 N Main St

Phoenix, OR 97535-9632

Phone: (541) 535-1561

Fax: (541) 535-3015

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

Po Box 817

Phoenix, OR 97535-0817

Other names (DBA / former)

Doing business as: Phoenix Pharmacy

Registry dates

Enumerated: 2005-11-29
Last updated: 2014-05-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.