# CONSONUS PHARMACY SERVICES CA NORTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Consonus Pharmacy Services CA North LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144470931
- **Authorized official:** TAMI LAFLEN (VP OF FINANCE)
- **Authorized official phone:** (971) 206-5172

## Contact information

- **Practice address:** 2148 ICON WAY STE 100, VACAVILLE, CA 95688-8803
- **Practice address phone:** (866) 253-0048
- **Practice address fax:** (503) 961-7781
- **Mailing address:** 4560 SE INTERNATIONAL WAY STE 101, MILWAUKIE, OR 97222-4628
- **Mailing address phone:** (971) 206-5205
- **Mailing address fax:** (503) 961-7781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | PH02624 | NV | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 49171 | CA | Yes |

## Other

- **Enumeration date:** 09/29/2008
- **Last updated:** 09/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1144470931 | — | CA |
| 01 | — | 2117169 | PK | — |