TERRY'S PHARMACY INC NPI 1700871852

NPI Information

TERRY'S PHARMACY INC is a pharmacy in Portland, OR. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. TERRY'S PHARMACY INC NPI is 1700871852. The provider is registered as an organization entity type.
The provider Is Doing Business As Terry's Pharmacy.

The provider's business location address is:

1719 NE 16TH AVE
PORTLAND, OR
ZIP 97212-422
Phone: (503) 288-4646
Fax: (503) 288-7200

The provider's authorized official is Terrance D Gerlach .
The authorized official title is Pres. and has the following contact phone number (503) 288-4646.

The enumeration date for this NPI number is 9/14/2005 and was last updated on 2/4/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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