Individual
JANE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1210 MOHAWK BLVD, SPRINGFIELD, OR 97477-3349
(541) 747-3841
Mailing address
1210 MOHAWK BLVD, SPRINGFIELD, OR 97477-3349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0014419
OR
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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