NPI 1013949502

Tomin Basrai, INC.

Organisation Community/Retail Pharmacy Portland, OR

Practice location

Address: 4246 NE Sandy Blvd, Portland, OR 97213-1432
Phone: (503) 287-1163
Fax: (503) 282-2281

Authorised official

Name: Gurpartap S Basrai
Title: President/Owner
Phone: (510) 468-2217

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 00413 (OR)

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1013949502
Entity type: Organization
NPI issued: 7 Jul 2006
Record last updated: 16 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.