Providence Specialty Pharmacy Services-ltc is not a DME supplier for medicare equipments and products.
Providence Specialty Pharmacy Services-ltc is a Long Term Care Pharmacy in Portland, Oregon. This pharmacy is owned and operated by Providence Health & Services - Oregon. This organization is also known as sub part of Providence Health & Services - Oregon. It is located at 6410 Ne Halsey St, Suite 400, Portland and it's customer support contact number is 503-215-4633. The authorized person of Providence Specialty Pharmacy Services-ltc is Mr. Donald W Anderson Jr. who is Dir Reimb Reg Strat/asst Sec Enroll of the pharmacy and his contact number is 425-525-5392. Active license number of Providence Specialty Pharmacy Services-ltc is IP0001899-CS for Long Term Care Pharmacy in Oregon. Providence Specialty Pharmacy Services-ltc 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:
Providence Specialty Pharmacy Services-ltc 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:
Providence Specialty Pharmacy Services-ltc
Type:
Long Term Care Pharmacy
Location:
6410 Ne Halsey St, Suite 400, Portland, Oregon, 97213-4742
Phone:
503-215-4633
Fax:
503-215-0576
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:
Mr. Donald W Anderson Jr.
Position:
Dir Reimb Reg Strat/asst Sec Enroll
Contact Number:
425-525-5392
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:
1336223171
Parent Organization:
Providence Health & Services - Oregon
NPI Enumeration Date:
25 Oct, 2006
NPI Last Update On:
08 Aug, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Specialty Pharmacy Services-ltc are as mentioned below.
Specialization
License Number
State
Status
Long Term Care Pharmacy
IP0001899-CS
Oregon
Primary
Pharmacy
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
233012
Medicaid
Oregon
3815315
Other
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:
Po Box 5936b, Portland, Oregon
Zip:
97228-5936
Phone Number:
503-215-5033
Fax Number:
503-215-0542
Patients can reach Providence Specialty Pharmacy Services-ltc at 6410 Ne Halsey St, Suite 400, Portland, Oregon or can call on customer care at 503-215-4633.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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