Individual
MISS ANNIE RATLIFF CAPELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
16100 SW 72ND AVE, TIGARD, OR 97224-7745
(503) 626-9436
(503) 372-1792
Mailing address
11483 SW 90TH AVE, TIGARD, OR 97223-6406
(541) 231-8176
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
RPH-0011897
OR
Other
Enumeration date
10/08/2010
Last updated
05/16/2014
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