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General NPI Number Information
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NPI Number | 1912366006
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Entity Type | Organization
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Legal Business Name | BOWMANS HILLSDALE PHARMACY
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Dates
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Enumeration Date | 02/17/2016
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Last Update Date | 02/17/2016
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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 | 503-246-7582
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Fax |
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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 |
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Authorized Official
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Title or Position | PRESCRIBING PHARMACIST
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Name | MR. HARRISON F BOWMAN
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Credential | RPH BS
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Telephone | 503-880-9228
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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 | 4224
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License Number State | OR
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