Organization
IRBY PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS WADE IRBY RPH (PRESIDENT)
(503) 429-4646
Entity
Organization
Contact information
Practice address
622 BRIDGE ST, VERNONIA, OR 97064-1262
(503) 429-4646
(503) 429-4647
Mailing address
12250 SW CANYON RD, BEAVERTON, OR 97005-2116
(503) 644-2101
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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