Organization
SHERIDAN PHARMACY, INC
Active
Other names
Sheridan Pharmacy 1155
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI VEIS (VP OF PHARMACY)
(503) 507-6073
Entity
Organization
Contact information
Practice address
103 E MAIN ST, SHERIDAN, OR 97378-1828
(503) 843-2422
(503) 843-5043
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
Primary
—
—
3336C0003X
Community/Retail Pharmacy
RP-0000500-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3812030
NABP NUMBER
OR
05
—
500625416
—
OR
01
—
RP0000500CS
OR LICENSE
OR
Enumeration date
07/23/2006
Last updated
12/17/2024
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