<Unavail>

LBN: Pharmacy Dot Com 82Nd
<Unavail> is an health care organization with primary practice located at 5253 Se 82Nd Ave , Portland OR 97266-4862. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pharmacy Dot Com 82Nd can be contacted via phone (503) 477-8453, or through Nguyen, Jasmine via phone (360) 450-9194.

Contact Information

Primary practice address
5253 Se 82Nd Ave Portland OR 97266-4862
Phone: (503) 477-8453
Fax: (503) 477-8416
Website:
Map and Directions
Authorized official contact:
Name: Nguyen, Jasmine
Phone: (360) 450-9194

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1457901498
LBN Legal business name Pharmacy Dot Com 82Nd
DBA Doing business as <Unavail>
Authorized official Nguyen, Jasmine
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2019
Last updated Sep 14th, 2021 - about 5 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 1457901498 NPPES
Oregon MEDICAID 500772894

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