Organization
COLUMBIA PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANH H NGUYEN (MANAGER)
(206) 245-5010
Entity
Organization
Contact information
Practice address
8122 SE TIBBETTS ST., PORTLAND, OR 97206
(503) 777-7055
(503) 384-2417
Mailing address
8122 SE TIBBETTS ST., PORTLAND, OR 97206
(503) 777-7055
(503) 384-2417
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500634523
—
OR
Enumeration date
01/26/2011
Last updated
06/17/2020
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