Provider Demographics
NPI:1538653654
Name:DIVISION PHARMACY INC.
Entity Type:Organization
Organization Name:DIVISION PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NZERIBE
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:NWOKOMA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:503-734-8583
Mailing Address - Street 1:10240 NE HALSEY ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97220-3951
Mailing Address - Country:US
Mailing Address - Phone:503-261-0303
Mailing Address - Fax:
Practice Address - Street 1:10240 NE HALSEY ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97220-3951
Practice Address - Country:US
Practice Address - Phone:503-261-0303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-21
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy