STROHECKERS PHARMACY INC
Specialty Pharmacy
Portland, Oregon
Provider NPI: 1891755799
Organization Information: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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin