Organization
P BOWMAN LLC
Active
Other names
Tualatin Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK H BOWMAN (PHARMACIS/OWNER)
(503) 649-5557
Entity
Organization
Contact information
Practice address
19297 SW MARTINAZZI AVE, TUALATIN, OR 97062-6352
(503) 649-5557
Mailing address
19297 SW MARTINAZZI AVE, TUALATIN, OR 97062-6352
(503) 649-5557
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6252
OR
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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