Southeast Health Clinic Pharmacy is not a DME supplier for medicare equipments and products.
Southeast Health Clinic Pharmacy is a Clinic Pharmacy in Portland, Oregon. This pharmacy is owned and operated by Multnomah County Oregon. It is located at 3653 Se 34th Ave, Portland and it's customer support contact number is 503-988-5423. The authorized person of Southeast Health Clinic Pharmacy is Michele Koder who is Pharmacy Director of the pharmacy and his contact number is 503-988-7278. Active license number of Southeast Health Clinic Pharmacy is RP-0002772-CS for Clinic Pharmacy in Oregon. Southeast Health Clinic Pharmacy is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Southeast Health Clinic 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:
Southeast Health Clinic Pharmacy
Type:
Clinic Pharmacy
Location:
3653 Se 34th Ave, Portland, Oregon, 97202-3034
Phone:
503-988-5423
Fax:
503-988-4345
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:
Michele Koder
Position:
Pharmacy Director
Contact Number:
503-988-7278
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:
1396087631
NPI Enumeration Date:
25 Mar, 2013
NPI Last Update On:
08 Nov, 2019
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southeast Health Clinic Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Clinic Pharmacy
RP-0002772-CS
Oregon
Primary
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
3844621
Other
Ncpdp Provider Identification Number
123620
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
619 Nw 6th Ave Fl 7, Portland, Oregon
Zip:
97209-3964
Phone Number:
503-988-5423
Fax Number:
503-988-4345
Patients can reach Southeast Health Clinic Pharmacy at 3653 Se 34th Ave, Portland, Oregon or can call on customer care at 503-988-5423.
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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