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NPI 1265447197 · live from the CMS NPI Registry

Beckwith INC

Pharmacy, Community/Retail Pharmacy in Redmond, OR. National Provider Identifier 1265447197, active.

NPI record

NPI1265447197 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Community/Retail Pharmacy 3336C0003X
Practice location655 Nw Greenwood Ave., Suite 1, Redmond, OR 97756
Practice phone541-923-3822
EnumeratedJuly 29, 2006
Last updatedNovember 18, 2008
Authorized officialBruce Beckwith, Owner/President
Other namesThe Medicine Shoppe

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacy, Community/Retail Pharmacy primary3336C0003XRP-0001075-CS (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.