Organization
TOMIN BASRAI, INC.
Active
Other names
Paulsen's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GURPARTAP S BASRAI PHARMD (PRESIDENT/OWNER)
(510) 468-2217
Entity
Organization
Contact information
Practice address
4246 NE SANDY BLVD, PORTLAND, OR 97213-1432
(503) 287-1163
(503) 282-2281
Mailing address
4246 NE SANDY BLVD, PORTLAND, OR 97213-1432
(503) 287-1163
(503) 282-2281
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00413
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157107
—
OR
05
—
269109
—
OR
Enumeration date
07/07/2006
Last updated
05/16/2016
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