Individual
MS. MARY KATHERINE WHEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
728 SW 4TH AVE, ONTARIO, OR 97914-2626
(541) 889-3390
(541) 889-4488
Mailing address
728 SW 4TH AVE, ONTARIO, OR 97914-2626
(541) 889-3390
(541) 889-4488
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6366
OR
183500000X
Pharmacist
P3857
ID
Other
Enumeration date
11/22/2008
Last updated
11/22/2008
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