<Unavail>
LBN: Rose City Pharmacy
<Unavail> is an health care organization with primary practice located at 1125 Ne 99Th Ave , Portland OR 97220-9428. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Rose City Pharmacy can be contacted via phone (503) 254-7383, or through Uddin, Haaris via phone (503) 254-7383.
Contact Information
Primary practice address
1125 Ne 99Th Ave
Portland OR 97220-9428
Phone: (503) 254-7383
Fax: (503) 254-4568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1275698458 |
|---|---|
| LBN Legal business name | Rose City Pharmacy |
| DBA Doing business as | <Unavail> |
| Authorized official | Uddin, Haaris CFO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Feb 23rd, 2026 - about 8 months 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 | 1275698458 | NPPES |
| Washington | MEDICAID | 2161521 | |
| Washington | MEDICAID | 170080 |
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