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General NPI Number Information
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NPI Number | 1811957657
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Entity Type | Organization
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Legal Business Name | RICK'S HI-SCHOOL PHARMACY, INC.
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 401 W COLUMBIA RIVER HWY
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City | CLATSKANIE
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State | OR
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Zip | 97016
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Country | US
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Telephone | 503-728-2102
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Fax | 503-728-3085
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Provider Business Mailing Address
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Address Line | 916 W EVERGREEN BLVD
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City | VANCOUVER
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State | WA
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Zip | 98660-3035
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Country | US
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Telephone | 360-213-2236
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Fax | 360-213-2238
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Authorized Official
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Title or Position | VP OF PHARMACY
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Name | KRISTI VEIS
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Credential |
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Telephone | 503-507-6073
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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 | RP0000172CS
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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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