Oregon Cvs Pharmacy LLC

NPI #1619125614 in Clackamas, Oregon

Provider Information

NPI Number: 1619125614
Entity Type: Organization
Organization Name: Oregon Cvs Pharmacy LLC
Primary Specialty: Pharmacy
Enumeration Date: Sep 3, 2008
Last Updated: Nov 30, 2016

Practice Location

Address: 9000 SE SUNNYSIDE RD
City: Clackamas
State: Oregon
ZIP Code: 97015-9758
Phone: (503) 974-5058

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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