New Season Market Pharmacy in Portland - Compounding Pharmacy
New Season Market Pharmacy - NPI 1891853552
New Season Market Pharmacy is a Compounding Pharmacy in Portland, Oregon. New Season Market Pharmacy practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for New Season Market Pharmacy is 1891853552. The last update date is 2020-08-22.
New Season Market Pharmacy's current location address is 1954 Se Division St, Portland, Oregon. You can contact this provider via phone number 5034453100 and fax number 5035463910. The mailing address for New Season Market Pharmacy is 1954 Se Division St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | New Season Market Pharmacy |
|---|---|
| Address | 1954 Se Division St, Portland, Oregon |
| Phone Number | 5034453100 |
| Fax Number | 5035463910 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHAMACIST |
|---|---|
| Authorized Official Name | Rosenberg L Suzanne |
| Credentials | RPH |
| Telephone Number | 5034453100 |
NPI Number Detail
| NPI Number | 1891853552 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1954 Se Division St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 97222 |
| Phone Number | 5034453100 |
| Fax Number | 5035463910 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
| Licence No | RP0002196CS |
|
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 |
|---|---|---|---|
| 233492 | OR | -- |
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What is the New Season Market Pharmacy's 1891853552?
The New Season Market Pharmacy's NPI (National Provider Identifier) Number is 1891853552. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the New Season Market Pharmacy located?
The New Season Market Pharmacy is located at 1954 Se Division St, Portland, OR 97222.
What is New Season Market Pharmacy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for New Season Market Pharmacy is Compounding Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 3336C0004X.
On what date did the Centers for Medicare & Medicaid Services issue the 1891853552 to New Season Market Pharmacy?
The New Season Market Pharmacy received its 1891853552 assignment from the Centers for Medicare & Medicaid Services on 2006-12-05.
When was the New Season Market Pharmacy's information last updated?
The New Season Market Pharmacy's information was last updated on 2020-08-22.
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