Newera Pharmacy
LBN: Pharmacy Acquisition Co., Llc
Newera Pharmacy is an health care organization with primary practice located at 1286 Se Holgate Blvd # C-2 , Portland OR 97202-5053. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Pharmacy Acquisition Co., Llc can be contacted via phone (503) 222-4822, or through Treharne, Tyler Matthew via phone (503) 338-9840.
Contact Information
Primary practice address
1286 Se Holgate Blvd # C-2
Portland OR 97202-5053
Phone: (503) 222-4822
Fax: (503) 222-4868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | RP-0000985-CS | Oregon |
| Suppliers / Mail Order Pharmacy | 3336M0002X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1922536606 |
|---|---|
| LBN Legal business name | Pharmacy Acquisition Co., Llc |
| DBA Doing business as | Newera Pharmacy |
| Authorized official | Treharne, Tyler Matthew PHARMD. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 25th, 2017 |
| Last updated | Jul 21st, 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 | 1922536606 | NPPES |
| Oregon | MEDICAID | 500733435 |
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