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Individual
DR. BENJAMIN UPHOUSE
Active
Individual
DR. BENJAMIN UPHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-001691-
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0116911
OREGON BOARD OF PHARMACY
OR
Enumeration date
10/14/2018
Last updated
10/14/2018
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