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Individual

MATTHEW ELAMPARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 397-3359
Mailing address
3800 SE 22ND AVE, PHARMACY MAIL STOP 04002/34K, PORTLAND, OR 97202-2918

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60752003
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PH60752003
WASHINGTO STATE PHARMACIST LICENSE
WA
01
RPH-0016165
OREGON STATE PHARMACIST LICENSE
OR
Enumeration date
08/24/2017
Last updated
03/17/2018
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