Organization
BOARDMAN HARDWARE INC
Active
Other names
Boardman Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND D. MICHAEL R. PH. (CORPORATION PRESIDENT)
(541) 481-9474
Entity
Organization
Contact information
Practice address
202 N.W. FIRST, BOARDMAN, OR 97818
(541) 481-9474
(541) 481-2151
Mailing address
PO BOX 170, BOARDMAN, OR 97818-0170
(541) 481-9474
(541) 481-2151
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4971
OR
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019299
—
OR
01
—
3807382
NABP NUMBER
OR
Enumeration date
12/11/2006
Last updated
09/11/2025
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