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Organization
BOARDMAN HARDWARE INC
Active
Organization
BOARDMAN HARDWARE INC
Active
Other names
Boardman Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND D. MICHAEL R. PH. (CORPORATION PRESIDENT)
(541) 481-9474
Entity
Organization
Contact information
Practice address
202 N.W. FIRST, BOARDMAN, OR 97818
(541) 481-9474
(541) 481-2151
Mailing address
PO BOX 170, BOARDMAN, OR 97818-0170
(541) 481-9474
(541) 481-2151
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4971
OR
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019299
—
OR
01
—
3807382
NABP NUMBER
OR
Enumeration date
12/11/2006
Last updated
09/11/2025
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