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Individual

MRS. SHANNON LEEANNE NORSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM. D

Contact information

Practice address
435 LIBERTY ST NE, SALEM, OR 97301-3521
(503) 362-3654
(503) 362-7870
Mailing address
435 LIBERTY ST NE, SALEM, OR 97301-3521
(503) 362-3654
(503) 362-7870

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH - 0012701
OR

Other

Enumeration date
01/20/2014
Last updated
01/20/2014
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