Organization
PHARMACA INTEGRATIVE PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON FARRELL (SVP PHARMACY SERVICES)
(717) 254-9011
Entity
Organization
Contact information
Practice address
13 NW 23RD PL, PORTLAND, OR 97210
(503) 226-6211
(503) 226-5390
Mailing address
7088 WINCHESTER CIR STE 100, BOULDER, CO 80301-3760
(303) 442-2304
(303) 867-4181
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP0000363CS
OR
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3804158
OTHER ID NUMBER
—
Enumeration date
12/18/2006
Last updated
01/12/2022
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