# ASSURED PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134164353
- **Authorized official:** JOHN MUTTER (CHIEF OPS OFC)
- **Authorized official phone:** (949) 222-9971

## Contact information

- **Practice address:** 10196 SW PARK WAY, PORTLAND, OR 97225-5008
- **Practice address phone:** (503) 292-0045
- **Practice address fax:** (503) 292-0059
- **Mailing address:** PO BOX 23, FRANKLIN PARK, NJ 08823-0023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | RP0002215CS | OR | Yes |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 08/22/2020