Individual
ROBERT DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1804 COLUMBIA BLVD, SAINT HELENS, OR 97051-1733
(503) 397-5555
(360) 213-2238
Mailing address
916 W EVERGREEN BLVD, VANCOUVER, WA 98660-3035
(360) 213-2236
(360) 213-2238
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0012729
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0012729
PHARMACIST LICENSE NUMBER
OR
Enumeration date
04/08/2013
Last updated
04/08/2013
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