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General NPI Number Information
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NPI Number | 1336365857
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Entity Type | Organization
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Legal Business Name | THE VANCOUVER CLINIC PHARMACY
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 700 NE 87TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98664-1913
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Country | US
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Telephone | 360-397-3314
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Fax | 360-397-3315
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Provider Business Mailing Address
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Address Line | 700 NE 87TH AVENUE
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City | VANCOUVER
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State | WA
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Zip | 98664-4896
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Country | US
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Telephone | 360-397-3314
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Fax | 360-397-3315
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Authorized Official
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Title or Position | DIRECTOR OF ANCILLARY SERVICES
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Name | MR. BRETT WINDSOR
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Credential |
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Telephone | 360-253-1462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | CF00057554
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License Number State | WA
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