# PNW PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PNW RX, Propac Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710746458
- **Authorized official:** KEVIN MICHAEL RICKER (MANAGING MEMBER)
- **Authorized official phone:** (503) 887-7395

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 03/15/2024
- **Last updated:** 08/20/2026