BEAVERTON PHARMACY INC is a long term care pharmacy pharmacy in Beaverton, 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. BEAVERTON PHARMACY INC NPI is 1639651490. The provider is registered as an organization entity type.
The provider Is Doing Business As Beaverton Pharmacy.
The provider's business location address is:
12250 SW CANYON RD
BEAVERTON, OR
ZIP 97005-116
Phone: (503) 644-2101
The provider's authorized official is Thomas Wade Irby .
The authorized official title is President and has the following contact phone number (503) 644-2101.
The CLIA number assigned to this NPI record is 38D2231327 - pharmacy with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/29/2018 and was last updated on 8/29/2018.