Individual
SARAH BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1704 E MAIN ST, COTTAGE GROVE, OR 97424-2244
(541) 942-2224
Mailing address
383 SALMON ST, ROSEBURG, OR 97471-4760
(843) 532-8469
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0014782
OR
183500000X
Pharmacist
36083
SC
Other
Enumeration date
06/25/2015
Last updated
08/28/2015
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