GRESHAM PROFESSIONAL PHARMACY

Pharmacy - Community/Retail Pharmacy

Active Organization
NPI: 1063401198

Practice Address

24076 SE STARK ST
SUITE 100
Gresham, OR 97030

Phone: (503) 491-0117

Specialties

Specialty Code Primary License
Pharmacist 183500000X No 8305 (OR)
Pharmacy - Community/Retail Pharmacy 3336C0003X Yes 002102 (OR)

Frequently Asked Questions

NPI 1063401198 is the National Provider Identifier for GRESHAM PROFESSIONAL PHARMACY, a Pharmacy - Community/Retail Pharmacy provider located in Gresham, OR. This NPI was enumerated on October 20, 2005.

Quick Facts

NPI
1063401198
Type
Organization
Enumerated
Oct 20, 2005
Last Updated
Oct 21, 2008

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