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General NPI Number Information
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NPI Number | 1194313619
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Entity Type | Organization
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Legal Business Name | PRESCRYPTIVE PHARMACY & PATIENT SERVICES INC
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Dates
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Enumeration Date | 01/10/2021
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 2127 S HIGHWAY 97 STE 150
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City | REDMOND
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State | OR
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Zip | 97756-0320
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Country | US
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Telephone | 206-413-9475
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Fax |
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Provider Business Mailing Address
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Address Line | 2127 S HIGHWAY 97 STE 150
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City | REDMOND
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State | OR
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Zip | 97756-0320
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Country | US
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Telephone | 541-526-3565
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Fax | 866-922-4730
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | LEVI J MARTIN
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Credential | PHARMD, RPH
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Telephone | 541-526-3565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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