Individual
DAVID VANDRIESCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2260 MARCOLA RD, SPRINGFIELD, OR 97477-2594
(541) 222-7340
(541) 984-4617
Mailing address
2260 MARCOLA RD, SPRINGFIELD, OR 97477-2594
(541) 222-7340
(541) 984-4617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
8326
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0008326
OR
Other
Enumeration date
10/17/2013
Last updated
10/05/2022
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