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Individual

TAD YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2400 LANCASTER DR NE, SALEM, OR 97305-1221
(866) 280-1563
Mailing address
2400 LANCASTER DR NE, SALEM, OR 97305-1221
(866) 280-1563

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0010871
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0010871
OR

Other

Enumeration date
03/23/2012
Last updated
10/23/2016
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