Organization
NEW SEASONS MARKET - HAPPY VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC L FOXMAN R.PH. (PHARMACY MANAGER)
(503) 558-9215
Entity
Organization
Contact information
Practice address
15861 SE HAPPY VALLEY TOWN CENTER DR., HAPPY VALLEY, OR 97086
(503) 558-9215
(503) 658-8470
Mailing address
15861 SE HAPPY VALLEY TOWN CENTER DR., HAPPY VALLEY, OR 97086
(503) 558-9215
(503) 658-8470
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP-0002413-CS
OR
3336C0004X
Compounding Pharmacy
RP-0002413-CS
OR
3336S0011X
Specialty Pharmacy
RP-0002413-CS
OR
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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