ROSE CITY PHARMACY LTC NPI 1205477312

NPI Information

ROSE CITY PHARMACY LTC is a long term care pharmacy pharmacy in Portland, OR. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. ROSE CITY PHARMACY LTC NPI is 1205477312. The provider is registered as an organization entity type.
The provider Is Doing Business As Gateway Medical Pharmacy Ltc.

The provider's business location address is:

1125 NE 99TH AVE
PORTLAND, OR
ZIP 97220
Phone: (503) 254-7383
Fax: (503) 254-4568

The provider's authorized official is William Cao .
The authorized official title is President and has the following contact phone number (503) 254-7383.

The CLIA number assigned to this NPI record is 38D0064626 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2019 and was last updated on 10/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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