NPI 1235747775 · live from the CMS NPI Registry
Cordant Pharmacy Oregon, LLC
Pharmacy, Community/Retail Pharmacy in Portland, OR. National Provider Identifier 1235747775, active.
NPI record
| NPI | 1235747775 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 6135 Ne 80th Ave Ste A2, Portland, OR 97218 |
| Practice phone | 817-572-0009 |
| Mailing address | 9500 Ormsby Station Rd Ste 400, Louisville, KY 40223 |
| Enumerated | July 21, 2020 |
| Last updated | January 22, 2024 |
| Authorized official | Bradley Eckmann, Ceo |
| Other names | St. Matthews Pharmacy 2 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.