Individual
MARILYN KAY LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
603 SE BAKER ST, MCMINNVILLE, OR 97128-6429
(503) 474-3795
Mailing address
12475 SW GOPHER VALLEY RD, SHERIDAN, OR 97378-9797
(503) 843-2417
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5498
OR
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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