Individual
DR. AUSTIN LANDREVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1401 N 10TH AVE, STAYTON, OR 97383-1311
(503) 769-9223
(503) 769-2479
Mailing address
1401 N 10TH AVE, STAYTON, OR 97383-1311
(503) 769-9223
(503) 769-2479
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018018
OR
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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