Individual
DYLAN VAN ROOYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3740 MARKET ST NE, SALEM, OR 97301-1826
(503) 370-4351
Mailing address
3740 MARKET ST NE, SALEM, OR 97301-1826
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0019612
OR
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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