| NPI | 1548217136 |
|---|---|
| Doing Business As | BEAVERTON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | THOMAS IRBY President 503-644-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OR RP-0000129-CS) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2019-12-12 |