Organization
PHARMACY ACQUISITION CO., LLC
Active
Other names
NewEra Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER MATTHEW TREHARNE PHARMD. (OWNER)
(503) 338-9840
Entity
Organization
Contact information
Practice address
1286 SE HOLGATE BLVD # C-2, PORTLAND, OR 97202-5053
(503) 222-4822
(503) 222-4868
Mailing address
1286 SE HOLGATE BLVD # C-2, PORTLAND, OR 97202-5053
(503) 222-4822
(503) 222-4868
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
RP-0000985-CS
OR
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500733435
—
OR
Enumeration date
05/25/2017
Last updated
07/21/2022
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