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Organization
ROSE CITY PHARMACY
Active
Organization
ROSE CITY PHARMACY
Active
Other names
Gateway Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HAARIS UDDIN CFO (CFO)
(503) 254-7383
Entity
Organization
Contact information
Practice address
1125 NE 99TH AVE, PORTLAND, OR 97220-9428
(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
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
3336M0002X
Mail Order Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170080
—
OR
05
—
2161521
—
WA
Enumeration date
12/27/2006
Last updated
02/23/2026
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