Individual
DAVID ALLAN SCHULBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
514 W MAIN ST, MOLALLA, OR 97038-9260
(503) 829-4555
(503) 829-4494
Mailing address
514 W MAIN ST, MOLALLA, OR 97038-9260
(503) 829-4555
(503) 829-4494
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6105
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6105
STATE PHARMACIST LICENSE
OR
Enumeration date
02/10/2012
Last updated
02/10/2012
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