<Unavail>

LBN: Pharmacy Acquisition Co., Llc
<Unavail> 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:
Map and Directions
Authorized official contact:
Name: Treharne, Tyler Matthew PHARMD.
Phone: (503) 338-9840

Health care specialties

SpecialtyCodeLicense #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 <Unavail>
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922536606 NPPES
Oregon MEDICAID 500733435

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