Phoenix Downtown Pharmacy Llc in Phoenix - Pharmacy
Phoenix Downtown Pharmacy Llc - NPI 1063495596
Phoenix Downtown Pharmacy Llc is a Pharmacy in Phoenix, Oregon. Phoenix Downtown Pharmacy Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Phoenix Downtown Pharmacy Llc is 1063495596. The last update date is 2014-05-06.
Phoenix Downtown Pharmacy Llc's current location address is 404 N Main St, Phoenix, Oregon. You can contact this provider via phone number 5415351561 and fax number 5415353015. The mailing address for Phoenix Downtown Pharmacy Llc is 404 N Main St, Phoenix, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Phoenix Downtown Pharmacy Llc |
|---|---|
| Address | 404 N Main St, Phoenix, Oregon |
| Phone Number | 5415351561 |
| Fax Number | 5415353015 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Egendoerfer Benjamin |
| Telephone Number | 5413011473 |
NPI Number Detail
| NPI Number | 1063495596 |
|---|---|
| Provider Enumeration Date | 2005-11-29 |
| Last Updated Date | 2014-05-06 |
Provider Mailing Address Detail
| Address | 404 N Main St |
|---|---|
| City | Phoenix |
| State | Oregon (OR) |
| Post Code | 975359632 |
| Phone Number | 5415351561 |
| Fax Number | 5415353015 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2140394 | PK |
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What is the unique 10-digit identification code issued to Phoenix Downtown Pharmacy Llc by the Centers for Medicare & Medicaid Services?
The Phoenix Downtown Pharmacy Llc has been assigned the NPI (National Provider Identifier) 1063495596 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Phoenix Downtown Pharmacy Llc is physically located?
The Phoenix Downtown Pharmacy Llc is situated at the following address: 404 N Main St, Phoenix, OR 975359632.
What is Phoenix Downtown Pharmacy Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Phoenix Downtown Pharmacy Llc is Pharmacy, and the taxonomy code that categorizes this field of expertise is 333600000X.
When did Phoenix Downtown Pharmacy Llc receive its 1063495596 assignment?
The Phoenix Downtown Pharmacy Llc was assigned its 1063495596 on 2005-11-29, which is the date when this unique identifier was issued to the organization.
As of what date were the Phoenix Downtown Pharmacy Llc's details last updated?
The information pertaining to the Phoenix Downtown Pharmacy Llc, including its address, specialty, and other details, was most recently updated on 2014-05-06.