Individual
MATTHEW YOSHIO IGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
124 LANCASTER DR SE, SALEM, OR 97317-5331
(503) 428-5004
Mailing address
124 LANCASTER DR SE, SALEM, OR 97317-5331
(503) 428-5004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0015765
OR
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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