Provider Demographics
NPI:1316675309
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 427
Mailing Address - Street 2:
Mailing Address - City:HEPPNER
Mailing Address - State:OR
Mailing Address - Zip Code:97836-0427
Mailing Address - Country:US
Mailing Address - Phone:541-676-9158
Mailing Address - Fax:541-795-0169
Practice Address - Street 1:101 SW KINKADE RD
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OR
Practice Address - Zip Code:97818-9001
Practice Address - Country:US
Practice Address - Phone:541-481-9474
Practice Address - Fax:541-945-1460
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MURRAY DRUGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-09
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500742485Medicaid