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Organization
TERRY'S PHARMACY INC
Active
Organization
TERRY'S PHARMACY INC
Active
Other names
Terry's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRANCE D GERLACH RPH (PRES.)
(503) 288-4646
Entity
Organization
Contact information
Practice address
1719 NE 16TH AVE, PORTLAND, OR 97212-4422
(503) 288-4646
(503) 288-7200
Mailing address
1719 NE 16TH AVE, PORTLAND, OR 97212-4422
(503) 288-4646
(503) 288-7200
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RP0000443-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059972
—
OR
01
—
3807748
NABP NUMBER
OR
01
—
RP0000443-CS
PHARMACY LICENSE NUMBER
OR
Enumeration date
09/14/2005
Last updated
02/04/2008
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