New Season Market Pharmacy

LBN: New Season Market Pharmacy
New Season Market Pharmacy is an health care organization with primary practice located at 1954 Se Division St , Portland OR 97222. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Pharmacy Service Providers / Pharmacist is the primary health care specialty. New Season Market Pharmacy can be contacted via phone (503) 445-3100, or through Rosenberg, Suzanne L via phone (503) 445-3100.

Contact Information

Primary practice address
1954 Se Division St Portland OR 97222
Phone: (503) 445-3100
Fax: (503) 546-3910
Website:
Map and Directions
Authorized official contact:
Name: Rosenberg, Suzanne L RPH
Phone: (503) 445-3100

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X
Suppliers / Community/Retail Pharmacy 3336C0003X RP0002196CS Oregon
Suppliers / Compounding Pharmacy 3336C0004X RP0002196CS Oregon

Profile Details

NPI number 1891853552
LBN Legal business name New Season Market Pharmacy
DBA Doing business as
Authorized official Rosenberg, Suzanne L RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1891853552 NPPES
Oregon MEDICAID 233492

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