Organization · Type 2 NPI

Prestige Professional Pharmacy

Community/Retail Pharmacy · Portland, OR

NPI number 1144767427 Active

Practice location

11723 NE Glisan St
Portland, OR 97220-2141

Fax (888) 299-2770

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	RP0003251 (OR)
Long Term Care Pharmacy	3336L0003X	None listed

Community/Retail Pharmacy: 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 …

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NPI record

NPI: 1144767427
Entity type: Organization (Type 2)
Issued: Jan 25, 2017
Last updated: Feb 27, 2019
Status: Active

Other names

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Prestige Professional Pharmacy · doing business as
Prestige Professional Pharmacy · doing business as

Authorized official

Close Pharmacy
Owner/ao
(503) 542-0733

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144767427

Prestige Professional Pharmacy's National Provider Identifier is 1144767427, issued on Jan 25, 2017. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Portland, OR. The record was last updated on Feb 27, 2019.