Individual
DELIA OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 SHASTA WAY, KLAMATH FALLS, OR 97603-4455
(541) 884-1780
Mailing address
2544 UNION ST APT 17, KLAMATH FALLS, OR 97601-4361
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0017549
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0017549
OR
Other
Enumeration date
12/04/2019
Last updated
01/16/2020
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