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General NPI Number Information
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NPI Number | 1346438124
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Entity Type | Organization
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Legal Business Name | RX DIRECT INC
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 03/25/2009
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Provider Practice Location Address
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Address Line | 16246 SE MCLOUGHLIN
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City | MILWAUKIE
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State | OR
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Zip | 97267
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Country | US
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Telephone | 503-657-9422
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Fax | 503-656-0278
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Provider Business Mailing Address
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Address Line | 16246 SE MCLOUGHLIN BLVD
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City | MILWAUKIE
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State | OR
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Zip | 97267-4657
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PETER NG
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Credential | RPH
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Telephone | 503-657-9422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0000349
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License Number State | OR
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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