Individual
EDWARD LEE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2855 BROADWAY ST NE, SALEM, OR 97303-6502
(503) 585-7222
Mailing address
2855 BROADWAY ST NE, SALEM, OR 97303-6502
(503) 585-7222
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4728
OR
1835P1200X
Pharmacotherapy Pharmacist
4728
OR
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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