NPI 1255949285

Charles Whitney Bodreau, PHARMD

Practitioner Pharmacist Aloha, OR

Practice location

Address: 20233 SW Jay St, Aloha, OR 97003-8137
Phone: (971) 221-8200

Registered specialties (3)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 0016852 (OR)

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Pharmacy Service Providers Taxonomy 1835P0018X Licence 0016852 (OR)

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Pharmacy Service Providers Taxonomy 1835P0018X Licence 021408 (KY)

Registry record

NPI: 1255949285
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jul 2020
Record last updated: 15 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.