NPI 1104121938 · live from the CMS NPI Registry
Columbia Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in Portland, OR. National Provider Identifier 1104121938, active.
NPI record
| NPI | 1104121938 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 8122 Se Tibbetts St., Portland, OR 97206 |
| Practice phone | 503-777-7055 |
| Enumerated | January 26, 2011 |
| Last updated | June 17, 2020 |
| Authorized official | Hanh Nguyen, Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Mail Order Pharmacy | 3336M0002X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.