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General NPI Number Information
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NPI Number | 1508003955
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Entity Type | Organization
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Legal Business Name | HOWARD'S PHARMACY INC.
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 01/07/2009
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Provider Practice Location Address
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Address Line | 101 N F ST
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City | LAKEVIEW
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State | OR
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Zip | 97630-1529
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Country | US
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Telephone | 541-947-2141
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Fax | 541-947-4696
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Provider Business Mailing Address
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Address Line | 101 N F ST
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City | LAKEVIEW
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State | OR
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Zip | 97630-1529
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Country | US
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Telephone | 541-947-2141
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Fax | 541-947-4696
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MR. JEFF HOWARD
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Credential |
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Telephone | 541-947-2141
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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 | 00266
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License Number State | OR
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