Individual
MS. PATRICIA ANN KOPECKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
401 S ROOSEVELT DR, SEASIDE, OR 97138-6745
(503) 738-4706
(503) 738-4708
Mailing address
401 S ROOSEVELT DR, SEASIDE, OR 97138-6745
(503) 738-4706
(503) 738-4708
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11805
OR
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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