Healthcare Provider Details

I. General information

NPI: 1609944404
Provider Name (Legal Business Name): SODASPRINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 HOLLY ST
JUNCTION CITY OR
97448-1331
US

IV. Provider business mailing address

PO BOX 126
JUNCTION CITY OR
97448-0126
US

V. Phone/Fax

Practice location:
  • Phone: 541-998-5496
  • Fax: 541-998-8300
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License NumberRP0002145CS
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VII. Legacy identifiers

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

# 1
Identifier3842641
Identifier TypeOTHER
Identifier State
Identifier IssuerOTHER ID NUMBER-COMMERCIAL NUMBER

VIII. Authorized Official

Name: ELIZABETH WILLIAMS
Title or Position: PHARMACIST OWNER
Credential: RPH
Phone: 541-998-5496