Provider Demographics
NPI:1700087921
Name:HEALTH SOLUTIONS PHARMACY CENTER INC
Entity Type:Organization
Organization Name:HEALTH SOLUTIONS PHARMACY CENTER INC
Other - Org Name:PROFESSIONAL COMPOUNDING PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMMI
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLVI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:541-766-8781
Mailing Address - Street 1:996 NW CIRCLE BLVD.
Mailing Address - Street 2:SUITE 105
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-1410
Mailing Address - Country:US
Mailing Address - Phone:541-766-8781
Mailing Address - Fax:541-766-8786
Practice Address - Street 1:996 NW CIRCLE BLVD.
Practice Address - Street 2:SUITE 105
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-1410
Practice Address - Country:US
Practice Address - Phone:541-766-8781
Practice Address - Fax:541-766-8786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRP0001497-CS3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy