Organization
RITE AID PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANAND GOWDA (PHARMACY DISTRICT MANAGER)
(425) 247-4108
Entity
Organization
Contact information
Practice address
7440 N DENVER AVE, PORTLAND, OR 97217-5630
(503) 286-5680
Mailing address
20718 SW SISTER LN, BEAVERTON, OR 97003-8155
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RPH0014876
OR
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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