Sunnyside Pharmacy

LBN: Willamette Pain & Spine Center Pc
Sunnyside Pharmacy is an health care organization with primary practice located at 10001 Se Sunnyside Rd Ste 100A , Clackamas OR 97015-9728. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Willamette Pain & Spine Center Pc can be contacted via phone (503) 343-9363, or through Miskimins, Tammie via phone (817) 572-0009.

Contact Information

Primary practice address
10001 Se Sunnyside Rd Ste 100A Clackamas OR 97015-9728
Phone: (503) 343-9363
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miskimins, Tammie
Phone: (817) 572-0009

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X RP0003062CS Oregon

Profile Details

NPI number 1114312451
LBN Legal business name Willamette Pain & Spine Center Pc
DBA Doing business as Sunnyside Pharmacy
Authorized official Miskimins, Tammie
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2015
Last updated Jun 29th, 2016 - about 10 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 1114312451 NPPES
Other 2151143 PK

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