Portland Compounding Pharmacy Llc in Portland - Compounding Pharmacy
Portland Compounding Pharmacy Llc - NPI 1558373613
Portland Compounding Pharmacy Llc is a Compounding Pharmacy in Portland, Oregon. Portland Compounding Pharmacy Llc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Portland Compounding Pharmacy Llc is 1558373613. The last update date is 2018-11-15.
Portland Compounding Pharmacy Llc's current location address is 2606 Ne Broadway St Ste B, Portland, Oregon. You can contact this provider via phone number 5032814161 and fax number 5032811990. The mailing address for Portland Compounding Pharmacy Llc is 2606 Ne Broadway St Ste B, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Portland Compounding Pharmacy Llc |
|---|---|
| Address | 2606 Ne Broadway St Ste B, Portland, Oregon |
| Phone Number | 5032814161 |
| Fax Number | 5032811990 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Gustafson Natalie |
| Credentials | PHARMD |
| Telephone Number | 5032814161 |
NPI Number Detail
| NPI Number | 1558373613 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2018-11-15 |
Provider Mailing Address Detail
| Address | 2606 Ne Broadway St Ste B |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972321898 |
| Phone Number | 5032814161 |
| Fax Number | 5032811990 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
| Licence No | RP-0000465-C |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2134247 | PK |
Post Comment/ Review Below
What is the unique identifier code issued to Portland Compounding Pharmacy Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Portland Compounding Pharmacy Llc has been assigned the NPI (National Provider Identifier) 1558373613. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Portland Compounding Pharmacy Llc's facilities are geographically located?
The facilities of Portland Compounding Pharmacy Llc are physically situated at the following location: 2606 Ne Broadway St Ste B, Portland, OR, 972321898.
What is Portland Compounding Pharmacy Llc's area of expertise and its corresponding taxonomy classification?
The Portland Compounding Pharmacy Llc's field of specialization is Compounding Pharmacy, and it falls under the taxonomy code 3336C0004X, which categorizes healthcare providers based on their areas of practice.
When did the Portland Compounding Pharmacy Llc receive its 1558373613?
The Portland Compounding Pharmacy Llc was issued its 1558373613 on 2006-08-13, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Portland Compounding Pharmacy Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Portland Compounding Pharmacy Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-11-15.
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