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Organization
ROSE CITY PHARMACY LTC
Active
Organization
ROSE CITY PHARMACY LTC
Active
Other names
Gateway Medical Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
HAARIS UDDIN CFO (CFO)
(204) 478-5609
Entity
Organization
Contact information
Practice address
1125 NE 99TH AVE, PORTLAND, OR 97220
(503) 254-7383
(503) 254-4568
Mailing address
1125 NE 99TH AVE, PORTLAND, OR 97220-9428
(503) 254-7383
(503) 254-4568
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
10/01/2019
Last updated
02/23/2026
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