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Organization

PNW PHARMACY LLC

Active
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Organization

PNW PHARMACY LLC

Active
Other names
PNW RX, Propac Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN MICHAEL RICKER (MANAGING MEMBER)
(503) 887-7395
Entity
Organization

Contact information

Practice address
400 NE 7TH ST, GRESHAM, OR 97030-5604
(503) 573-3278
(503) 573-3270
Mailing address
400 NE 7TH ST, GRESHAM, OR 97030-5604
(503) 573-3278
(503) 573-3270

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
NULL
183500000X
Pharmacist
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL

Other

Enumeration date
03/15/2024
Last updated
08/20/2026
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