Healthcare Provider Details

I. General information

NPI: 1902849268
Provider Name (Legal Business Name): RED CROSS UNITED DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 DEPOT ST
LA GRANDE OR
97850-2619
US

IV. Provider business mailing address

1123 ADAMS AVE
LA GRANDE OR
97850-2692
US

V. Phone/Fax

Practice location:
  • Phone: 541-963-5741
  • Fax: 541-963-6332
Mailing address:
  • Phone: 541-963-5741
  • Fax: 541-963-6332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberRP-0003206-CS
License Number StateOR

VIII. Authorized Official

Name: KANE LESTER
Title or Position: GENERAL MANAGER
Credential:
Phone: 541-963-5741