Mountain Park Pharmacy

LBN: Mountain Park Pharmacy
Mountain Park Pharmacy is an health care organization with primary practice located at 3 Monroe Pkwy Ste O , Lake Oswego OR 97035-8874. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Mountain Park Pharmacy can be contacted via phone (503) 636-1243, or through Bleakman, Julie via phone (503) 636-1243.

Contact Information

Primary practice address
3 Monroe Pkwy Ste O Lake Oswego OR 97035-8874
Phone: (503) 636-1243
Fax: (503) 636-0925
Website:
Map and Directions
Authorized official contact:
Name: Bleakman, Julie RPH
Phone: (503) 636-1243

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 1270 Oregon

Profile Details

NPI number 1669596508
LBN Legal business name Mountain Park Pharmacy
DBA Doing business as
Authorized official Bleakman, Julie RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669596508 NPPES
Oregon MEDICAID 052113

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