Boardman Pharmacy

LBN: Boardman Hardware Inc
Boardman Pharmacy is an health care organization with primary practice located at 202 N.W. First , Boardman OR 97818. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy. Pharmacy Service Providers / Pharmacist is the primary health care specialty. Boardman Hardware Inc can be contacted via phone (541) 481-9474, or through Michael, Raymond D. via phone (541) 481-9474.

Contact Information

Primary practice address
202 N.W. First Boardman OR 97818
Phone: (541) 481-9474
Fax: (541) 481-2151
Website:
Map and Directions
Authorized official contact:
Name: Michael, Raymond D. R. PH.
Phone: (541) 481-9474

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 4971 Oregon
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1346300159
LBN Legal business name Boardman Hardware Inc
DBA Doing business as Boardman Pharmacy
Authorized official Michael, Raymond D. R. PH.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346300159 NPPES
Oregon MEDICAID 019299
Oregon Other 3807382

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