Organization
PROFESSIONL PHARMACY
Active
Other names
Professional Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER JOSEPH MBA (OWNER)
(702) 203-4797
Entity
Organization
Contact information
Practice address
10000 SE MAIN ST STE 201, PORTLAND, OR 97216-2448
(503) 285-5514
Mailing address
608 SARI DR, LAS VEGAS, NV 89110-4227
(702) 203-4797
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RPH-0000689-CA
OR
Other
Enumeration date
01/13/2015
Last updated
03/21/2015
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