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Organization
GLSJO LLC
Active
Organization
GLSJO LLC
Active
Other names
Hi-School Pharmacy #1165
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI VEIS (VP OF PHARMACY)
(503) 507-6073
Entity
Organization
Contact information
Practice address
33454 SW CHINOOK PLZ, SCAPPOOSE, OR 97056-3731
(503) 543-6316
(360) 213-2238
Mailing address
916 W EVERGREEN BLVD, VANCOUVER, WA 98660-3035
(360) 213-2236
(360) 213-2238
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
RP0000553CS
OR
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175026
—
OR
01
—
3804780
NCPDP
—
Enumeration date
03/24/2006
Last updated
12/17/2024
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