# NEW SEASONS MARKET - HAPPY VALLEY

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

## Provider details

- **NPI number:** 1689873242
- **Authorized official:** MR. ERIC L FOXMAN R.PH. (PHARMACY MANAGER)
- **Authorized official phone:** (503) 558-9215

## Contact information

- **Practice address:** 15861 SE HAPPY VALLEY TOWN CENTER DR., HAPPY VALLEY, OR 97086
- **Practice address phone:** (503) 558-9215
- **Practice address fax:** (503) 658-8470
- **Mailing address:** 15861 SE HAPPY VALLEY TOWN CENTER DR., HAPPY VALLEY, OR 97086
- **Mailing address phone:** (503) 558-9215
- **Mailing address fax:** (503) 658-8470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | RP-0002413-CS | OR | Yes |
| 3336C0004X | Compounding Pharmacy | RP-0002413-CS | OR | — |
| 3336S0011X | Specialty Pharmacy | RP-0002413-CS | OR | — |

## Other

- **Enumeration date:** 07/13/2007
- **Last updated:** 07/13/2007