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General NPI Number Information
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NPI Number | 1841046349
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Entity Type | Organization
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Legal Business Name | ORTING VALLEY PHARMACY
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Dates
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Enumeration Date | 04/25/2024
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 9915 224TH ST E UNIT 212
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City | GRAHAM
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State | WA
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Zip | 98338-7087
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Country | US
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Telephone | 253-434-4034
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Fax | 833-998-4271
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Provider Business Mailing Address
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Address Line | 18310 115TH AVE E
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City | PUYALLUP
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State | WA
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Zip | 98374-8876
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Country | US
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Telephone | 253-380-3665
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Fax |
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Authorized Official
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Title or Position | PIC
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Name | DARREN HART
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Credential | PHARMD.
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Telephone | 253-380-3665
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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 |
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License Number State |
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