Healthcare Provider Details

I. General information

NPI: 1154418036
Provider Name (Legal Business Name): JO DELL'S DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

884 RIVER RD STE A
EUGENE OR
97404-3233
US

IV. Provider business mailing address

884 RIVER RD STE A
EUGENE OR
97404-3233
US

V. Phone/Fax

Practice location:
  • Phone: 541-688-0390
  • Fax: 541-688-1287
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberIP0001952CS
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier227833
Identifier TypeMEDICAID
Identifier StateOR
Identifier Issuer
# 2
Identifier3842122
Identifier TypeOTHER
Identifier State
Identifier IssuerOTHER ID NUMBER-COMMERCIAL NUMBER

VIII. Authorized Official

Name: JODELL OFFORD
Title or Position: PRESIDENT
Credential:
Phone: 541-688-0390