Organization
PRAMUKH INC
Active
Other names
Physicians Building Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRUSHAR PATEL (OWNER/PRESIDENT)
(503) 362-4874
Entity
Organization
Contact information
Practice address
1234 COMMERCIAL ST SE, SALEM, OR 97302-4204
(503) 362-4874
(503) 378-0103
Mailing address
1234 COMMERCIAL ST SE, SALEM, OR 97302-4204
(503) 362-4874
(503) 378-0103
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP-0000512-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147815
PK
—
Enumeration date
09/11/2014
Last updated
03/23/2015
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