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Organization
JB SOWLES
Active
Organization
JB SOWLES
Active
Other names
Dave's Prescription Shop
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BRADLEY SOWLES RPH (OWNER/PHARMACIST)
(503) 266-2081
Entity
Organization
Contact information
Practice address
911 SW 4TH AVE, CANBY, OR 97013-3832
(503) 266-2081
(503) 263-3255
Mailing address
911 SW 4TH AVE, CANBY, OR 97013-3832
(503) 266-2081
(503) 263-3255
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP-0000597-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210544
—
OR
Enumeration date
09/02/2006
Last updated
08/22/2020
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