Organization
CONSONUS PHARMACY SERVICES CA NORTH LLC
Active
Other names
Consonus Pharmacy Services CA North LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI LAFLEN (VP OF FINANCE)
(971) 206-5172
Entity
Organization
Contact information
Practice address
2148 ICON WAY STE 100, VACAVILLE, CA 95688-8803
(866) 253-0048
(503) 961-7781
Mailing address
4560 SE INTERNATIONAL WAY STE 101, MILWAUKIE, OR 97222-4628
(971) 206-5205
(503) 961-7781
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH02624
NV
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
49171
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144470931
—
CA
01
—
2117169
PK
—
Enumeration date
09/29/2008
Last updated
09/19/2025
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