institution
Medication Management Program
Clinic Pharmacy in Portland, Oregon
NPI 1720493968

Medication Management Program is a Clinic Pharmacy based in Portland, OR and is specialized in Clinic Pharmacy. Medication Management Program practices in Portland, OR. The NPI Number for Medication Management Program is 1720493968 and holds a License No. 00058657 (Oregon).

The current practice location address for Medication Management Program is 5717 Ne 138Th Ave, Portland, OR and can be reached out via phone at 503-261-7541 and via fax at 503-261-2048.

Location: 5717 Ne 138Th Ave, Portland, OR, 97230-3409
institution
Provider Profile Details
NPI Number
1720493968
Provider Name
Medication Management Program
Credential
Provider Entity Type
Organization
Address
5717 Ne 138Th Ave, Portland, OR, 97230-3409
Phone Number
503-261-7541
Fax Number
503-261-2048
Provider Enumeration Date
06/26/2014
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
136668 05 OR
6019392 05 WA
2146486 01 PK
institution
Provider Business Practice Location Address Details
Address
5717 Ne 138Th Ave
City
State
Zip
97230-3409
Phone Number
503-261-7541
Fax Number
503-261-2048
person
Provider Business Mailing Address Details
Address
5717 Ne 138Th Ave
City
State
Zip
97230-3409
Phone Number
503-261-7541
Fax Number
503-261-2048
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
License No.
00058657 (Washington)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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