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General NPI Number Information
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NPI Number | 1528150513
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Entity Type | Organization
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Legal Business Name | PHARMACARE PRESCRIPTIONS INC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6256 SW CAPITOL HWY
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City | PORTLAND
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State | OR
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Zip | 97239-2674
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Country | US
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Telephone | 503-244-7582
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Fax | 503-452-9251
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Provider Business Mailing Address
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Address Line | 6256 SW CAPITOL HWY
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City | PORTLAND
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State | OR
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Zip | 97239-2674
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Country | US
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Telephone | 503-244-7582
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Fax | 503-452-9251
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MR. HARRISON FORGRAVE BOWMAN
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Credential | RPH
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Telephone | 503-244-7582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 00423
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License Number State | OR
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