Individual
MRS. KOREEN MARIE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
601 W NORTH ST, ENTERPRISE, OR 97828-1427
(541) 426-3535
(541) 426-9107
Mailing address
601 W NORTH ST, ENTERPRISE, OR 97828-1427
(541) 426-3535
(541) 426-9107
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0009398
OR
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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