Individual
MALACHI DAVID HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2275 NE DOCTORS DR STE 10, BEND, OR 97701-6324
(541) 288-9708
Mailing address
56 NW PORTLAND AVE APT 1, BEND, OR 97703-1846
(541) 640-0324
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T-0027820
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1719090
NABP ID
OR
Enumeration date
04/04/2023
Last updated
10/19/2023
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