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NPI 1255174843 · live from the CMS NPI Registry

Consonus Pharmacy Services Ca North LLC

Pharmacy, Long Term Care Pharmacy in Ontario, CA. National Provider Identifier 1255174843, active.

NPI record

NPI1255174843 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Long Term Care Pharmacy 3336L0003X
Practice location1950 S Grove Ave Ste 101a, Ontario, CA 91761
Practice phone866-253-0048
Mailing address4560 Se International Way Ste 101, Milwaukie, OR 97222
EnumeratedJune 13, 2024
Last updatedJune 13, 2024
Authorized officialTami Laflen, Vp Of Finance
Other namesConsonus Pharmacy Ca South

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacy333600000X—
Pharmacy, Compounding Pharmacy3336C0004X—
Pharmacy, Long Term Care Pharmacy primary3336L0003X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.