Organization
ASTORIA FAMILY PHARMACY, LLC
Active
Other names
Astoria Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE J OLIVA RPH (OWNER)
(360) 693-5879
Entity
Organization
Contact information
Practice address
2120 EXCHANGE ST, SUITE 101, ASTORIA, OR 97103-3365
(503) 325-3455
(503) 325-3473
Mailing address
916 W EVERGREEN BLVD, VANCOUVER, WA 98660-3035
(360) 213-2236
(360) 213-2238
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RP0001690CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226560
—
OR
01
—
3814111
NCPDP
—
Enumeration date
03/23/2006
Last updated
11/19/2009
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