# JB SOWLES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Dave's Prescription Shop
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629170451
- **Authorized official:** MR. JOHN BRADLEY SOWLES RPH (OWNER/PHARMACIST)
- **Authorized official phone:** (503) 266-2081

## Contact information

- **Practice address:** 911 SW 4TH AVE, CANBY, OR 97013-3832
- **Practice address phone:** (503) 266-2081
- **Practice address fax:** (503) 263-3255
- **Mailing address:** 911 SW 4TH AVE, CANBY, OR 97013-3832
- **Mailing address phone:** (503) 266-2081
- **Mailing address fax:** (503) 263-3255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | RP-0000597-CS | OR | Yes |

## Other

- **Enumeration date:** 09/02/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 210544 | — | OR |