OrganizationActive
Siskiyou Community Health Center Pharmacy
NPI 1427404094 · Community/Retail Pharmacy · Cave Junction, OR
Provider details
- NPI number
- 1427404094
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Richard Booth, Ceo(541) 471-3455
- License
- RP-0003008-CS (OR)
Specialties & taxonomies
Suppliers
Practice location
25647 Redwood Hwy
Cave Junction, OR 97523-9332
Phone: (541) 592-4111
Fax: (541) 592-3916
Approximate (ZIP-level) locationGet directions
Mailing address
1701 Nw Hawthorne Ave
Grants Pass, OR 97526-1257
Registry dates
- Enumerated
- 2016-05-12
- Last updated
- 2021-10-06
- Certified
- 2021-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.