Providence Specialty Pharmacy Services
Pharmacy at Halsey St, Portland, OR

License number
Colorado 5818
Issued Date
Jun 4, 2009
Renew Date
Nov 1, 2014
Expiration Date
Oct 31, 2016
Type
Prescription Drug Outlet Out of State
Address
Address
6410 NE Halsey St STE 400, Portland, OR 97213

Organization information

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PROVIDENCE SPECIALTY PHARMACY SERVICES

6410 NE Halsey STE 400, Portland, OR 97213

Registration:
Jan 27, 2009
Phone:
(503) 215-4377 (Phone)
State ID:
57476393
Business type:
ASSUMED BUSINESS NAME
Agent:
Corey Amarx,6410 NE Halsey St STE 100, Portland, OR 97213 (Physical)
Categories:
Drug Stores & Pharmacies


PROVIDENCE HEALTH & SERVICES-OREGON

Portland, OR

Status:
Inactive
Industry:
Intermediate Care Facility, Medical Equipment Rental Ret Misc Merchandise Equipment Rental/Leasing, Help Supply Services, ...
Doing business as:
Providence Health & Services-Oregon<br>Providence Specialty Pharmacy Services, Inc<br>Providence Health & Services<br>Health Services Oper for Ore
Registration:
Mar 3, 2010
Phone:
(503) 215-2273 (Phone), (503) 215-4956 (Phone), (503) 215-4663 (Phone), (425) 525-3355 (Phone), (503) 215-8583 (Phone), (503) 287-0065 (Phone)
Addresses:
6410 NE Halsey St STE 400, Portland, OR 97213 (Mailing)
1235 NE 47 Ave, Portland, OR 97213
State ID:
0801238771
Business type:
DBA PROVIDENCE SPECIALTY PHARMACY SERVICES, INC.
DIRECTOR, Directors:
John F. Koster (President),Rodney F. Hochman (President),Todd Hofheins (Treasurer),...
Agent:
Business Filings Incorporated,701 Brazos St SUITE 720, Austin, TX 78701 (Physical)
TIN:
32041353999