Organization
BECKWITH INC
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE BECKWITH (OWNER/PRESIDENT)
(541) 923-3822
Entity
Organization
Contact information
Practice address
655 NW GREENWOOD AVE., SUITE 1, REDMOND, OR 97756-3119
(541) 923-3822
Mailing address
655 NW GREENWOOD AVE., SUITE 1, REDMOND, OR 97756-3119
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP-0001075-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080218
—
OR
Enumeration date
07/29/2006
Last updated
11/18/2008
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