# RXDIRECT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RX DIRECT, INC
- **Other names:** Jennings McCall Center Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750304838
- **Legal business name:** RX DIRECT, INC
- **Authorized official:** PHUONG M PHAN CPHT (ADMINISTRATOR)
- **Authorized official phone:** (503) 657-9422

## Contact information

- **Practice address:** 2300 MASONIC WAY, FOREST GROVE, OR 97116-2043
- **Practice address phone:** (503) 357-4499
- **Practice address fax:** (503) 357-4479
- **Mailing address:** 16246 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267
- **Mailing address phone:** (503) 657-9422
- **Mailing address fax:** (503) 656-0278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | RP-0001701-CS | OR | — |
| 3336L0003X | Long Term Care Pharmacy | IP-0001981-CS | OR | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 02/01/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 210400 | — | OR |