# HUBBELL PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brooklyn Pharmacy Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114968815
- **Authorized official:** MR. PATRICK SCOTT HUBBELL RPH (PIC/OWNER)
- **Authorized official phone:** (503) 234-3488

## Contact information

- **Practice address:** 3131 SE MILWAUKIE AVE, PORTLAND, OR 97202
- **Practice address phone:** (503) 234-3488
- **Practice address fax:** (503) 235-0373
- **Mailing address:** 3131 SE MILWAUKIE AVE, PORTLAND, OR 97202
- **Mailing address phone:** (503) 234-3488
- **Mailing address fax:** (503) 235-0373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 00366 | OR | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 10/29/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 020107 | — | OR |