Gresham Professional Pharmacy is not a DME supplier for medicare equipments and products.
Gresham Professional Pharmacy is a Community/Retail Pharmacy in Gresham, Oregon. It is located at 24076 Se Stark St, Suite 100, Gresham and it's customer support contact number is 503-491-0117. The authorized person of Gresham Professional Pharmacy is Dr. David G Moll, PHARMD who is Ceo of the pharmacy and his contact number is 503-491-0117. Active license number of Gresham Professional Pharmacy is 002102 for Community/Retail Pharmacy in Oregon. Gresham Professional Pharmacy is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Gresham Professional Pharmacy 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:
Gresham Professional Pharmacy
Type:
Community/Retail Pharmacy
Location:
24076 Se Stark St, Suite 100, Gresham, Oregon, 97030-3373
Phone:
503-491-0117
Fax:
503-489-2078
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:
Dr. David G Moll
Credentials:
PHARMD
Position:
Ceo
Contact Number:
503-491-0117
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:
1063401198
NPI Enumeration Date:
20 Oct, 2005
NPI Last Update On:
21 Oct, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gresham Professional Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
002102
Oregon
Primary
Pharmacist
8305
Oregon
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
299911
Medicaid
Oregon
3815125
Other
Oregon
Nabp/ncpdp #
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
24076 Se Stark St, Suite 100 Gresham, Oregon
Zip:
97030-3373
Phone Number:
503-491-0117
Fax Number:
503-489-2078
Patients can reach Gresham Professional Pharmacy at 24076 Se Stark St, Suite 100, Gresham, Oregon or can call on customer care at 503-491-0117.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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