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Devon Heisler
Pharmacy in Gresham, Oregon
NPI 1154984763

Devon Heisler is a Pharmacy based in Portland, OR. Devon Heisler practices in Gresham, OR. The NPI Number for Devon Heisler is 1154984763 and holds a License No. PI-0012696 (Oregon).

The current practice location address for Devon Heisler is 24800 Se Stark St, Gresham, OR and can be reached out via phone at 503-674-1122. You can also correspond with Devon Heisler through the mailing address at 2215 SE 37TH AVE, PORTLAND, OR - 97214-5819 (mailing address contact number: 603-903-3117).

Location: 24800 Se Stark St, Gresham, OR, 97214-5819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154984763
Provider Name
Devon Heisler
Credential
Provider Entity Type
Individual
Gender
Female
Address
24800 Se Stark St, Gresham, OR, 97214-5819
Phone Number
503-674-1122
Fax Number
Provider Enumeration Date
04/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24800 Se Stark St
City
Gresham
State
Oregon
Zip
97030-3378
Phone Number
503-674-1122
Fax Number
person
Provider Business Mailing Address Details
Address
24800 Se Stark St
City
Gresham
State
Oregon
Zip
97030-3378
Phone Number
503-674-1122
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PI-0012696 (Oregon)
Definition
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.
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