Individual
SANTON MMBALI SHAGAVAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-5185
Mailing address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-5185
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0017415
OR
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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