Provider Demographics
NPI:1336224120
Name:NORCHEM LLC.
Entity Type:Organization
Organization Name:NORCHEM LLC.
Other - Org Name:DBA ROSE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:541-382-2992
Mailing Address - Street 1:1247 NE MEDICAL CENTER DRIVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701
Mailing Address - Country:US
Mailing Address - Phone:541-382-2992
Mailing Address - Fax:
Practice Address - Street 1:1247 NE MEDICAL CENTER DRIVE
Practice Address - Street 2:SUITE 1
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701
Practice Address - Country:US
Practice Address - Phone:541-382-2992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0007142183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty