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Organization
PHARMACY ACQUISITION CO., LLC
Active
Organization
PHARMACY ACQUISITION CO., LLC
Active
Other names
NewEra Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER MATTHEW TREHARNE PHARMD. (OWNER)
(503) 338-9840
Entity
Organization
Contact information
Practice address
1286 SE HOLGATE BLVD # C-2, PORTLAND, OR 97202-5053
(503) 222-4822
(503) 222-4868
Mailing address
1286 SE HOLGATE BLVD # C-2, PORTLAND, OR 97202-5053
(503) 222-4822
(503) 222-4868
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336C0004X
Compounding Pharmacy
RP-0000985-CS
OR
3336M0002X
Mail Order Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500733435
—
OR
Enumeration date
05/25/2017
Last updated
07/21/2022
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