Individual provider · Type 1 NPI

Raymond Paul Micciche Iii, R.PH.

Pharmacist · Beaverton, OR

NPI number 1063728095 Active

Practice location

14600 SW Murray Scholls Dr Ste 201
Beaverton, OR 97007-9712

Fax (503) 579-0988

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	9147 (OR)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1063728095

Raymond Paul Micciche Iii, R.PH.'s National Provider Identifier is 1063728095, issued on Aug 27, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Beaverton, OR. The record was last updated on Aug 27, 2010.