# CONSONUS PHARMACY SERVICES CA NORTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CONSONUS PHARMACY SERVICES CA NORTH, LLC
- **Other names:** Consonus Pharmacy CA South
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255174843
- **Legal business name:** CONSONUS PHARMACY SERVICES CA NORTH, LLC
- **Authorized official:** TAMI LAFLEN (VP OF FINANCE)
- **Authorized official phone:** (971) 206-5172

## Contact information

- **Practice address:** 1950 S GROVE AVE STE 101A, ONTARIO, CA 91761-5693
- **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) 206-5172
- **Mailing address fax:** (503) 961-7781

## Taxonomy

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

## Other

- **Enumeration date:** 06/13/2024
- **Last updated:** 06/13/2024