Beaverton Pharmacy INC

NPI #1639651490 in Beaverton, Oregon

Provider Information

NPI Number: 1639651490
Entity Type: Organization
Organization Name: Beaverton Pharmacy INC
Subpart: Yes (part of a larger organization)
Parent Organization: BEAVERTON PHARMACY INC
Primary Specialty: Pharmacy - Long Term Care Pharmacy
Enumeration Date: Aug 29, 2018
Last Updated: Aug 29, 2018

Practice Location

Address: 12250 SW CANYON RD
City: Beaverton
State: Oregon
ZIP Code: 97005-2116
Phone: (503) 644-2101

Authorized Official

Name: THOMAS WADE IRBY, RPH
Title: PRESIDENT
Phone: (503) 644-2101

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