Individual
NANCY LEVENTOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 THOMPSON RD, COOS BAY, OR 97420-2125
(800) 859-3296
Mailing address
PO BOX 5796, CHARLESTON, OR 97420-0645
(800) 859-3296
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
RPH-0011770
OR
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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