Organization
SUBLIMITY PHARMACY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMIE NETLAND RPH (OWNER)
(503) 769-4344
Entity
Organization
Contact information
Practice address
102 MARTIN DR, SUITE B, STAYTON, OR 97383-1296
(503) 769-4344
(503) 769-9796
Mailing address
102 MARTIN DR, SUITE B, STAYTON, OR 97383-1296
(503) 769-4344
(503) 769-9796
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
3811254
OR
3336L0003X
Long Term Care Pharmacy
Primary
IP-0001079-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001029
—
OR
05
—
293067
—
OR
Enumeration date
07/21/2006
Last updated
02/08/2016
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