Organization
PORTLAND PHARMACY INC
Active
Other names
PORTLAND PHARMACY INC LTC
Organization subpart
No
Provider details
NPI number
Authorized official
MALIK AHMED SHAIBI (SUPERVISING PHARMACY)
(313) 442-2400
Entity
Organization
Contact information
Practice address
1295 PORTLAND AVE STE 2, ROCHESTER, NY 14621-2726
(585) 537-7081
(585) 568-7909
Mailing address
1295 PORTLAND AVE STE 2, ROCHESTER, NY 14621-2726
(585) 537-7081
(585) 568-7909
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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