Shinta Imansjah, PHARM D/RPH - Portland, OR

Shinta Imansjah, PHARMD/RPH

Pharmacist in Portland, Oregon

NPI 1457314353

Shinta Imansjah is a Pharmacist based in Portland, OR. Shinta Imansjah practices in Portland, OR and has the professional credentials of PHARMD/RPH. The NPI Number for Shinta Imansjah is 1457314353 and holds a License No. PS 40904 (Oregon).

The current practice location address for Shinta Imansjah is 12360 E Burnside St, Portland, OR and can be reached out via phone at 971-279-4800 and via fax at 971-279-2763. You can also correspond with Shinta Imansjah through the mailing address at 1776 SW MADISON ST, PORTLAND, OR - 97205-1715 (mailing address contact number: 971-386-2278).

Location: 12360 E Burnside St, Portland, OR, 97205-1715

NPI Number

1457314353

Provider Name

Shinta Imansjah

Credential

PHARMD/RPH

Provider Entity Type

Individual

Gender

Female

Address

12360 E Burnside St, Portland, OR, 97205-1715

Phone Number

971-279-4800

Fax Number

971-279-2763

Provider Enumeration Date

04/11/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
500722920	05	OR

Address

12360 E Burnside St

City

Portland

State

Oregon

Zip

97233-1042

Phone Number

971-279-4800

Fax Number

971-279-2763

Address

12360 E Burnside St

City

Portland

State

Oregon

Zip

97233-1042

Phone Number

971-279-4800

Fax Number

971-279-2763

Type

Pharmacy Service Providers

Classification

Pharmacist

Speciality

Taxonomy

183500000X

License No.

PS 40904 (Florida)

Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

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