Organization · Type 2 NPI

Central Drug Store Inc.

Long Term Care Pharmacy · Medford, OR

NPI number 1124847074 Active

Practice location

2924 Siskiyou Blvd Ste 102
Medford, OR 97504-8194

Fax (541) 770-2999

Mailing address

PO Box B
Ilwaco, WA 98624-0167

Specialties and licenses

TaxonomyCodeLicense
Long Term Care Pharmacy Primary 3336L0003XNone listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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About NPI 1124847074

Central Drug Store Inc.'s National Provider Identifier is 1124847074, issued on Oct 8, 2024. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Medford, OR. The record was last updated on Dec 20, 2025.