Individual provider · Type 1 NPI
Devon Heisler
Pharmacy · Gresham, OR
Practice location
24800 SE Stark St
Gresham, OR 97030-3378
Mailing address
2215 SE 37th Ave
Portland, OR 97214-5819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy Primary | 333600000X | PI-0012696 (OR) |
Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…
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About NPI 1154984763
Devon Heisler's National Provider Identifier is 1154984763, issued on Apr 18, 2019. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Gresham, OR. The record was last updated on Apr 18, 2019.