Professional 205 Pharmacy
Professional 205 Pharmacy is a Community/Retail Pharmacy in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2016.
- Licensed in
- OR
- In the registry since
- 2016
Practice location Address checks out
10000 SE Main St Ste 118Portland, OR 97216-2462
Phone: (503) 255-2546
Fax: (503) 255-3893
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence RP,0000689 (OR) |
|---|
Record details
| NPI number | 1639521149 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susan Hodge — Owner · (503) 255-2546 |
| Other names | Professional Center 205 Pharmacy |
| NPI enumerated | July 8, 2016 |
| Last updated in NPPES | August 17, 2016 |
| Mailing address | 10000 Se Main St Ste 118, Portland, OR 97216-2462 |
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