Terry'S Pharmacy

LBN: Terry'S Pharmacy Inc
Terry'S Pharmacy is an health care organization with primary practice located at 1719 Ne 16Th Ave , Portland OR 97212-4422. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Terry'S Pharmacy Inc can be contacted via phone (503) 288-4646, or through Gerlach, Terrance D via phone (503) 288-4646.

Contact Information

Primary practice address
1719 Ne 16Th Ave Portland OR 97212-4422
Fax: (503) 288-7200
Website:
Authorized official contact:
Name: Gerlach, Terrance D RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X RP0000443-CS Oregon

Profile Details

NPI number 1700871852
LBN Legal business name Terry'S Pharmacy Inc
DBA Doing business as Terry'S Pharmacy
Authorized official Gerlach, Terrance D RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2005
Last updated Feb 4th, 2008 - about 16 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 1700871852 NPPES
Oregon Other 3807748 NABP NUMBER
Oregon Other RP0000443-CS NABP NUMBER
Oregon MEDICAID 059972 NABP NUMBER

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