Oregon Cvs Pharmacy LLC

NPI #1063090710 in Lake Oswego, Oregon

Provider Information

NPI Number
1063090710
Entity Type
Organization
Organization Name
Oregon Cvs Pharmacy LLC
Primary Specialty
Pharmacy
Enumeration Date
Apr 1, 2021
Last Updated
May 12, 2021

Practice Location

Address
4025 MERCANTILE DR STE 110
State
Oregon
ZIP Code
97035-2551
Phone
(503) 387-8167

Authorized Official

Name
SUSAN COLBERT
Title
SR DIRECTOR, PAYER RELATIONS
Phone
(401) 770-2751

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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