Lloyd Center Pharmacy

LBN: Portland Compounding Pharmacy Llc
Lloyd Center Pharmacy is an health care organization with primary practice located at 2606 Ne Broadway St Ste B , Portland OR 97232-1898. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Portland Compounding Pharmacy Llc can be contacted via phone (503) 281-4161, or through Gustafson, Natalie via phone (503) 281-4161.

Contact Information

Primary practice address
2606 Ne Broadway St Ste B Portland OR 97232-1898
Fax: (503) 281-1990
Website:
Authorized official contact:
Name: Gustafson, Natalie PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X RP-0000465-CS Oregon

Profile Details

NPI number 1558373613
LBN Legal business name Portland Compounding Pharmacy Llc
DBA Doing business as Lloyd Center Pharmacy
Authorized official Gustafson, Natalie PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2006
Last updated Nov 15th, 2018 - about 6 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 1558373613 NPPES
Other 2134247 PK

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