Beaverton Pharmacy Inc
Long Term Care Pharmacy
12250 Sw Canyon Rd, Beaverton
Oregon, 97005-2116
503-644-2101 Beaverton Pharmacy Inc is a Long Term Care Pharmacy in Beaverton, Oregon. This organization is also known as sub part of Beaverton Pharmacy Inc. It is located at 12250 Sw Canyon Rd, Beaverton and it's customer support contact number is 503-644-2101. The authorized person of Beaverton Pharmacy Inc is Thomas Wade Irby, RPH who is President of the pharmacy and his contact number is 503-644-2101. Active license number of Beaverton Pharmacy Inc is RP-0000129-CS for Long Term Care Pharmacy in Oregon.
Beaverton Pharmacy Inc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Beaverton Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Beaverton Pharmacy Inc |
| Type: | Long Term Care Pharmacy |
| Location: | 12250 Sw Canyon Rd, Beaverton,
Oregon, 97005-2116 |
| Phone: | 503-644-2101 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Thomas Wade Irby |
| Credentials: | RPH |
| Position: | President |
| Contact Number: | 503-644-2101 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1639651490 |
| Parent Organization: | Beaverton Pharmacy Inc |
| NPI Enumeration Date: | 29 Aug, 2018 |
| NPI Last Update On: | 29 Aug, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Beaverton Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | RP-0000129-CS | Oregon | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12250 Sw Canyon Rd,
Beaverton, Oregon |
| Zip: | 97005-2116 |
| Phone Number: | 503-644-2101 |
Patients can reach Beaverton Pharmacy Inc at
12250 Sw Canyon Rd, Beaverton, Oregon or can
call on customer care at 503-644-2101.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.