Organization
RX DIRECT INC
Active
Other names
OLSON INSTITUTIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PETER NG RPH (CEO)
(503) 657-9422
Entity
Organization
Contact information
Practice address
16246 SE MCLOUGHLIN, MILWAUKIE, OR 97267
(503) 657-9422
(503) 656-0278
Mailing address
16246 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-4657
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000349
OR
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005771
—
OR
01
—
3810632
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/05/2007
Last updated
03/25/2009
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