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Organization

JMSP LLC

Active
Other names
Professional Center 205 Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW PETERS (MANAGER)
(702) 203-4797
Entity
Organization

Contact information

Practice address
10000 SE MAIN ST, STE 118, PORTLAND, OR 97216-2448
(503) 255-2546
(503) 255-3893
Mailing address
10000 SE MAIN ST, STE 118, PORTLAND, OR 97216-2448
(503) 255-2546
(503) 255-3893

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
10/19/2009
Last updated
06/14/2019
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