Individual
JOHN ALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
20151 SE HIGHWAY 212, DAMASCUS, OR 97089-9220
(503) 658-7005
Mailing address
20151 SE HIGHWAY 212, DAMASCUS, OR 97089-9220
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8552
OR
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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