Organization
HILLSBORO PHARMACY & FOUNTAIN
Active
Other names
Hillsboro Pharmacy & Fountain
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE NGUYEN (OWNER)
(360) 450-9194
Entity
Organization
Contact information
Practice address
155 SE 2ND AVE, HILLSBORO, OR 97123-4026
(503) 648-1811
(503) 640-1514
Mailing address
155 SE 2ND AVE, HILLSBORO, OR 97123-4026
(503) 648-1811
(503) 640-1514
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP-0000237-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083758
—
OR
01
—
2077319
PK
—
Enumeration date
08/31/2006
Last updated
03/23/2022
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