Organization
HATCH FAMILY PHARMACY - AINSWORTH, INC.
Active
Other names
AINSWORTH DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH W HATCH R.PH. (PRESIDENT)
(503) 282-0787
Entity
Organization
Contact information
Practice address
4027 N INTERSTATE AVE, PORTLAND, OR 97227-1072
(503) 282-0787
(503) 284-4604
Mailing address
4027 N INTERSTATE AVE, PORTLAND, OR 97227-1072
(503) 282-0787
(503) 284-4604
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
440
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113667
—
OR
Enumeration date
08/30/2006
Last updated
08/22/2020
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