Organization
ROSE CITY PHARMACY LTC
Active
Other names
Gateway Medical Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
HAARIS UDDIN CFO (CFO)
(204) 478-5609
Entity
Organization
Contact information
Practice address
1125 NE 99TH AVE, PORTLAND, OR 97220
(503) 254-7383
(503) 254-4568
Mailing address
1125 NE 99TH AVE, PORTLAND, OR 97220-9428
(503) 254-7383
(503) 254-4568
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
02/23/2026
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