Individual
MR. JOSEPH LADUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
821 S MAIN ST, MYRTLE CREEK, OR 97457
(541) 863-6383
Mailing address
821 S MAIN ST, MYRTLE CREEK, OR 97457-9334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PI-0012812
OR
Other
Enumeration date
06/03/2017
Last updated
03/17/2018
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