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Individual

JOHN WALTER MCCLATCHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R. PH.

Contact information

Practice address
325 5TH ST, BROOKINGS, OR 97415-9658
(541) 469-1643
(541) 469-1637
Mailing address
325 5TH ST, BROOKINGS, OR 97415-9658
(541) 469-1643
(541) 469-1637

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10197
OR

Other

Enumeration date
10/09/2008
Last updated
10/09/2008
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