Hillsboro Pharmacy & Fountain
LBN: Hillsboro Pharmacy & Fountain
Hillsboro Pharmacy & Fountain is an health care organization with primary practice located at 155 Se 2Nd Ave , Hillsboro OR 97123-4026. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Hillsboro Pharmacy & Fountain can be contacted via phone (503) 648-1811, or through Nguyen, Jasmine via phone (360) 450-9194.
Contact Information
Primary practice address
155 Se 2Nd Ave
Hillsboro OR 97123-4026
Phone: (503) 648-1811
Fax: (503) 640-1514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | RP-0000237-CS | Oregon |
Profile Details
| NPI number | 1972615987 |
|---|---|
| LBN Legal business name | Hillsboro Pharmacy & Fountain |
| DBA Doing business as | Hillsboro Pharmacy & Fountain |
| Authorized official | Nguyen, Jasmine |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 23rd, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972615987 | NPPES |
| Other | 2077319 | PK | |
| MEDICAID | 083758 | PK |
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