Prestige Professional Pharmacy

LBN: Prestige Professional Pharmacy
Prestige Professional Pharmacy is an health care organization with primary practice located at 11723 Ne Glisan St , Portland OR 97220-2141. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Prestige Professional Pharmacy can be contacted via phone (866) 660-2626, or through Pharmacy, Close via phone (503) 542-0733.

Contact Information

Primary practice address
11723 Ne Glisan St Portland OR 97220-2141
Phone: (866) 660-2626
Fax: (888) 299-2770
Website:
Map and Directions
Authorized official contact:
Name: Pharmacy, Close
Phone: (503) 542-0733

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X RP0003251 Oregon
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1144767427
LBN Legal business name Prestige Professional Pharmacy
DBA Doing business as Prestige Professional Pharmacy
Authorized official Pharmacy, Close
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2017
Last updated Feb 27th, 2019 - 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 1144767427 NPPES
Other 2167382 PK

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