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Organization

LEGACY MERIDAN PARK HOSPITAL

Active
Other names
Meridian Park Medical Center Community Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL SIEG RPH (PHCY SRVCS MGR)
(503) 692-2665
Entity
Organization

Contact information

Practice address
19300 SW 65TH AVE, TUALATIN, OR 97062-7706
(503) 692-7470
(503) 692-7437
Mailing address
19300 SW 65TH AVE, TUALATIN, OR 97062-7706
(503) 692-2454
(503) 692-7437

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP-0000864
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2144384
PK
Enumeration date
02/21/2014
Last updated
03/09/2015
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