Organization
PHARMACY DOT COM 82ND
Active
Other names
Pharmacy Dot Com 82nd
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE NGUYEN (OWNER/MANAGER)
(360) 450-9194
Entity
Organization
Contact information
Practice address
5253 SE 82ND AVE, PORTLAND, OR 97266-4862
(503) 477-8453
(503) 477-8416
Mailing address
5253 SE 82ND AVE UNIT 27, PORTLAND, OR 97266-4885
(503) 477-8453
(503) 477-8416
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500772894
—
OR
Enumeration date
09/11/2019
Last updated
09/14/2021
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