Most Relevant Information
Provider Data
| NPI Number: | 1003573627 |
| Provider Name: | BRUCE WARDEN PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P0018X |
| Specialty: | Pharmacist |
| License Number: | RPH-0012288 |
Most Important Dates
| Enumeration Date: | 11/18/2021 |
| Last Updated: | 11/18/2021 |
Provider Practice Location
3181 SW SAM JACKSON PARK RD # 5N
PORTLAND
OR
972393011
Practice Location Phone/Fax
| Phone: | 5034947400 |
| Fax: | 5034189195 |
Provider Mailing Location
3181 SW SAM JACKSON PARK RD # 5N
PORTLAND
OR
972393011
Provider Mailing Phone/Fax
| Phone: | 5034947400 |
| Fax: | 5034189195 |