# GLSJO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hi-School Pharmacy \#1165
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962462960
- **Authorized official:** KRISTI VEIS (VP OF PHARMACY)
- **Authorized official phone:** (503) 507-6073

## Contact information

- **Practice address:** 33454 SW CHINOOK PLZ, SCAPPOOSE, OR 97056-3731
- **Practice address phone:** (503) 543-6316
- **Practice address fax:** (360) 213-2238
- **Mailing address:** 916 W EVERGREEN BLVD, VANCOUVER, WA 98660-3035
- **Mailing address phone:** (360) 213-2236
- **Mailing address fax:** (360) 213-2238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | RP0000553CS | OR | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/24/2006
- **Last updated:** 12/17/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 175026 | — | OR |
| 01 | — | 3804780 | NCPDP | — |