Organization Name:  STROHECKERS PHARMACY INC


Practice Location:
1286 SE HOLGATE BLVD SUITE C-1 PORTLAND, OR 97202 US
Tel: 503-222-4822  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	3336C0004X	Suppliers Pharmacy Compounding Pharmacy
N	3336C0003X	Suppliers Pharmacy
N	333600000X	Suppliers Pharmacy
Y	3336S0011X	Suppliers Pharmacy	OR	RP-0000985-CS

Other Provider Identifiers:

Issuer	Number	State	Type
PK	2077938		01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin