Organization
DAN INC
Active
Other names
Danielson Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG DANIELSON (OWNER)
(503) 655-9141
Entity
Organization
Contact information
Practice address
1500 MOLALLA AVE, OREGON CITY, OR 97045
(503) 655-1221
(503) 657-0925
Mailing address
PO BOX 2200, OREGON CITY, OR 97045
(503) 655-1221
(503) 657-0925
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP-0000669-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048215
—
OR
01
—
3806378
NABP NCPDP
OR
01
—
RP-0000669
STATE LICENSE #
OR
Enumeration date
05/02/2007
Last updated
03/07/2023
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