Individual
MARIO ZIVANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
777 NW KINGS BLVD, CORVALLIS, OR 97330-5620
(541) 754-5583
Mailing address
777 NW KINGS BLVD, CORVALLIS, OR 97330-5620
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0018691
OR
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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