# HATCH FAMILY PHARMACY - AINSWORTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AINSWORTH DRUG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184733263
- **Authorized official:** KENNETH W HATCH R.PH. (PRESIDENT)
- **Authorized official phone:** (503) 282-0787

## Contact information

- **Practice address:** 4027 N INTERSTATE AVE, PORTLAND, OR 97227-1072
- **Practice address phone:** (503) 282-0787
- **Practice address fax:** (503) 284-4604
- **Mailing address:** 4027 N INTERSTATE AVE, PORTLAND, OR 97227-1072
- **Mailing address phone:** (503) 282-0787
- **Mailing address fax:** (503) 284-4604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 440 | OR | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 113667 | — | OR |