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Organization
HUBBELL PHARMACY LLC
Active
Organization
HUBBELL PHARMACY LLC
Active
Other names
Brooklyn Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK SCOTT HUBBELL RPH (PIC/OWNER)
(503) 234-3488
Entity
Organization
Contact information
Practice address
3131 SE MILWAUKIE AVE, PORTLAND, OR 97202
(503) 234-3488
(503) 235-0373
Mailing address
3131 SE MILWAUKIE AVE, PORTLAND, OR 97202
(503) 234-3488
(503) 235-0373
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
00366
OR
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020107
—
OR
Enumeration date
06/10/2006
Last updated
10/29/2019
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