Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SATHANA LEWIS (RPH)
(503) 515-2168
Entity
Organization
Contact information
Practice address
11190 SW BARNES DR, PORTLAND, OR 97225
(503) 526-9121
(503) 626-4802
Mailing address
11190 SW BARNES RD, PORTLAND, OR 97225-5372
(503) 526-9121
(503) 626-4802
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0012368
OR
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
About Stedi
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