Individual
ROLYN SEVERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1680 W 18TH AVE, EUGENE, OR 97402-3815
(541) 342-5581
Mailing address
1680 W 18TH AVE, EUGENE, OR 97402-3815
(541) 342-5581
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0006232
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006232
PHARMACY LICENSE NUMBER
OR
Enumeration date
02/13/2012
Last updated
02/13/2012
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