MEDICARE: HI SCHOOL PHARMACY OF OREGON INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	RP0000589CS	OR
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3811975	OTHER		NCPDP

General Provider Information

NPI Number	:	1033178421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HI SCHOOL PHARMACY OF OREGON INC

Provider Business Mailing Address
First Line	:	916 W EVERGREEN BLVD
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98660-3035
Country	:	US
Telephone Number	:	360-213-2236
Fax Number	:	360-213-2238

Provider Business Practice Location Address
First Line	:	5639 HOOD STREET
Second Line	:
City	:	WEST LINN
State	:	OR
Zip	:	97068-3241
Country	:	US
Telephone Number	:	503-656-0306
Fax Number	:	503-650-7855

Authorized Official
Title or Position	:	VP OF PHARMACY
Name	:	KRISTI VEIS
Credential	:
Telephone Number	:	503-507-6073

Provider Enumeration Date	:	03/22/2006
Last Update Date	:	12/17/2024

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Directions to “HI SCHOOL PHARMACY OF OREGON INC ” Practice Location

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