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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRESHAM PROFESSIONAL PHARMACY

Active Organization

GRESHAM PROFESSIONAL PHARMACY is a Long-Term Care Pharmacy organization located in GRESHAM, Oregon. NPI 1063401198 is currently active in the NPPES registry. Verify at CMS.

Long-Term Care Pharmacy · GRESHAM, OR

Registration Details

NPI Number
1063401198
Provider Type
Organization
NPI Issued
Oct 20, 2005 (20.785610511911 yrs)
Last Updated
Oct 21, 2008
Licenses
8305 (OR)
002102 (OR)

Practice Information

Address
24076 SE STARK ST
SUITE 100
GRESHAM, OR, 970303373
Browse OR providers · Browse ZIP 97030
Phone
5034910117
Fax
5034892078
Primary Specialty
Long-Term Care Pharmacy
3336C0003X
Additional Specialty
Long-Term Care Pharmacy

Other Long-Term Care Pharmacy Organizations in GRESHAM, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.