Individual
JOHN FOSSITT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, DEPARTMENT OF PHARMACY, PORTLAND, OR 97239-3011
(503) 494-4660
Mailing address
3181 SW SAM JACKSON PARK RD, DEPARTMENT OF PHARMACY, PORTLAND, OR 97239-3011
(503) 494-4660
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0014670
OR
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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