# PHARMACA INTEGRATIVE PHARMACY, INC.

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

## Provider details

- **NPI number:** 1639232929
- **Authorized official:** ALISON FARRELL (SVP PHARMACY SERVICES)
- **Authorized official phone:** (717) 254-9011

## Contact information

- **Practice address:** 13 NW 23RD PL, PORTLAND, OR 97210
- **Practice address phone:** (503) 226-6211
- **Practice address fax:** (503) 226-5390
- **Mailing address:** 7088 WINCHESTER CIR STE 100, BOULDER, CO 80301-3760
- **Mailing address phone:** (303) 442-2304
- **Mailing address fax:** (303) 867-4181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | RP0000363CS | OR | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 01/12/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3804158 | OTHER ID NUMBER | — |