Provider Demographics
NPI:1144353962
Name:MURRAY DRUGS, INC.
Entity type:Organization
Organization Name:MURRAY DRUGS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:RODERICK
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:541-676-9158
Mailing Address - Street 1:PO BOX 275
Mailing Address - Street 2:
Mailing Address - City:CONDON
Mailing Address - State:OR
Mailing Address - Zip Code:97823-0275
Mailing Address - Country:US
Mailing Address - Phone:541-256-1200
Mailing Address - Fax:844-692-0016
Practice Address - Street 1:225 S. MAIN STR
Practice Address - Street 2:
Practice Address - City:CONDON
Practice Address - State:OR
Practice Address - Zip Code:97823-0725
Practice Address - Country:US
Practice Address - Phone:541-384-2801
Practice Address - Fax:541-384-2803
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MURRAY DRUGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-13
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR183400Medicaid
ORRP-0000167-CSOtherSTATE CONTROLLED SUBSTANC
1045170001Medicare ID - Type UnspecifiedMEDICARE NUMBER