Individual
PEGGY F PRIVRATSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
220 S SENECA RD, EUGENE, OR 97402-2725
(800) 456-0681
(541) 868-8859
Mailing address
3274 MYSTIC LN, EUGENE, OR 97405-6244
(541) 505-9272
(541) 868-8859
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6132
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6132
STATE PHARMACIST LICENSE
OR
01
—
PL 19419
STATE PHARMACIST LICENSE
WA
Enumeration date
02/28/2012
Last updated
02/28/2012
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