1063401198 GRESHAM PROFESSIONAL PHARMACY

Community/Retail Pharmacy

Active

Basic Information

Organization Name
GRESHAM PROFESSIONAL PHARMACY
Enumeration Date
October 20, 2005
Last Update
October 21, 2008
Authorized Official
DR. DAVID G MOLL PHARMD
CEO
Phone: (503) 491-0117

Practice Location

Address
24076 SE STARK ST
SUITE 100
GRESHAM, OR 970303373
Phone
(503) 491-0117
Fax
(503) 489-2078

Mailing Address

Address
24076 SE STARK ST
SUITE 100
GRESHAM, OR 970303373
Phone
(503) 491-0117
Fax
(503) 489-2078

Specialties & Taxonomies

Specialty Code Classification License State Primary
Pharmacist
183500000X Pharmacist 8305 OR No
Community/Retail Pharmacy
Community/Retail Pharmacy
3336C0003X Pharmacy 002102 OR Primary

Other Identifiers

Identifier Type State Issuer
299911 05 OR N/A
3815125 01 OR NABP/NCPDP #

Frequently Asked Questions

What is GRESHAM PROFESSIONAL PHARMACY's NPI number?
GRESHAM PROFESSIONAL PHARMACY's NPI number is 1063401198.
Which doctor has NPI number 1063401198?
The doctor with NPI number 1063401198 is GRESHAM PROFESSIONAL PHARMACY.
What is GRESHAM PROFESSIONAL PHARMACY's practice address?
GRESHAM PROFESSIONAL PHARMACY's practice address is 24076 SE STARK ST, SUITE 100, GRESHAM, OR, 970303373.
Which doctor practices at 24076 SE STARK ST, SUITE 100, GRESHAM, OR, 970303373?
GRESHAM PROFESSIONAL PHARMACY practices at 24076 SE STARK ST, SUITE 100, GRESHAM, OR, 970303373.
What is GRESHAM PROFESSIONAL PHARMACY's phone number?
GRESHAM PROFESSIONAL PHARMACY's phone number is (503) 491-0117.
Who is (503) 491-0117?
(503) 491-0117 is the phone number for GRESHAM PROFESSIONAL PHARMACY.
What is GRESHAM PROFESSIONAL PHARMACY's specialty?
GRESHAM PROFESSIONAL PHARMACY's specialty is Community/Retail Pharmacy.
What type of doctor is GRESHAM PROFESSIONAL PHARMACY?
GRESHAM PROFESSIONAL PHARMACY is a Community/Retail Pharmacy.
Is GRESHAM PROFESSIONAL PHARMACY a Community/Retail Pharmacy?
Yes, GRESHAM PROFESSIONAL PHARMACY is a Community/Retail Pharmacy.
Is GRESHAM PROFESSIONAL PHARMACY still practicing?
Yes, GRESHAM PROFESSIONAL PHARMACY is currently practicing.
Is GRESHAM PROFESSIONAL PHARMACY accepting new patients?
GRESHAM PROFESSIONAL PHARMACY may be accepting new patients. Please call their office at (503) 491-0117 to inquire about availability.
Is NPI 1063401198 still active?
Yes, NPI 1063401198 is currently active.
Where does GRESHAM PROFESSIONAL PHARMACY practice?
GRESHAM PROFESSIONAL PHARMACY practices in GRESHAM, OR.