Organization
KN DRUG LLC
Active
Other names
@PHARMACY.COM
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE NGUYEN PHARMD (PHARMACIST OWNER)
(360) 450-9194
Entity
Organization
Contact information
Practice address
7901 SE POWELL BLVD STE J&K, PORTLAND, OR 97206-2314
(503) 384-2475
(503) 477-6851
Mailing address
7901 SE POWELL BLVD STE J&K, PORTLAND, OR 97206-2314
(503) 384-2475
(503) 477-6851
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP-0002780-CS
OR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467793752
—
WA
05
—
1467793752-500658023
—
OR
01
—
2139423
PK
—
Enumeration date
03/11/2013
Last updated
01/12/2022
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