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Organization

NEW NARRATIVE PHARMACY

Active
Other names
FORMERLY LUKE-DORF PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT JOHN GRIMM RPH (PIC)
(503) 597-3904
Entity
Organization

Contact information

Practice address
121 NE 102ND AVE, SUITE 125 BLDG III, PORTLAND, OR 97220
(503) 597-3904
(503) 597-3905
Mailing address
121 NE 102ND AVE, SUITE 125 BLDG III, PORTLAND, OR 97220
(503) 597-3904
(503) 597-3905

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
333600000X
Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104356
OR
01
3843794
NCPDP
05
500627213
OR
Enumeration date
04/02/2010
Last updated
07/17/2023
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