Individual
ILANA WIDDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
185 E 18TH AVE, EUGENE, OR 97401-4107
(541) 342-4995
Mailing address
185 E 18TH AVE, EUGENE, OR 97401-4107
(541) 342-4995
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7782
OR
Other
Enumeration date
03/07/2013
Last updated
03/03/2014
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