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General NPI Number Information
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NPI Number | 1598831257
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Entity Type | Organization
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Legal Business Name | GOOD SHEPHERD CLINIC PHARMACY
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 600 NW 11TH STREET SUITE E04
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City | HERMISTON
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State | OR
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Zip | 97838
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Country | US
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Telephone | 541-667-3652
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Fax | 541-667-3649
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Provider Business Mailing Address
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Address Line | 600 NW 11TH STREET SUITE E04
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City | HERMISTON
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State | OR
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Zip | 97838
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Country | US
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Telephone | 541-667-3652
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Fax | 541-667-3649
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MICHELLE J HALL
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Credential | PHARM.D.
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Telephone | 541-667-3875
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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 | RP0001660CS
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License Number State | OR
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