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General NPI Number Information
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NPI Number | 1558355339
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Entity Type | Organization
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Legal Business Name | ONTARIO CLINIC PHARMACY
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 293 SW 13TH ST
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City | ONTARIO
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State | OR
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Zip | 97914-4530
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Country | US
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Telephone | 541-881-1213
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Fax |
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Provider Business Mailing Address
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Address Line | 293 SW 13TH ST
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City | ONTARIO
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State | OR
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Zip | 97914-4530
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Country | US
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Telephone | 541-881-1213
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | ROBERT FISCHER
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Credential | RPH
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Telephone | 541-881-1213
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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 | RP-0001468-CS
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License Number State | OR
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