OrganizationActive
Drug Mart Pharmacy Inc
NPI 1366507782 · Community/Retail Pharmacy · La Pine, OR
Provider details
- NPI number
- 1366507782
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Brandon Sandoval, Owner(541) 536-1111
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
51600 Huntington Rd
Ste a
La Pine, OR 97739-8887
Phone: (541) 536-1111
Fax: (541) 536-1980
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 159
La Pine, OR 97739-0159
Other names (DBA / former)
- Doing business as
- Drug Mart Pharmacy
- Doing business as
- Drug Mart Pharmacy
Registry dates
- Enumerated
- 2006-12-26
- Last updated
- 2025-09-29
- Certified
- 2025-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.