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General NPI Number Information
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NPI Number | 1952430068
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Entity Type | Organization
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Legal Business Name | PRAIRIE DRUG AND HARDWARE, INC
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 124 FRONT STR.
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City | PRAIRIE CITY
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State | OR
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Zip | 97869-0217
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Country | US
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Telephone | 541-820-3739
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 217
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City | PRAIRIE CITY
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State | OR
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Zip | 97869-0217
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARK MURRAY
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Credential | R.PH.
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Telephone | 541-820-3739
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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 | 5644
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License Number State | OR
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