Individual
MRS. GLORIA REGINA MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
36859 HIGHWAY 26, SANDY, OR 97055-7213
(503) 783-1023
Mailing address
37655 GOLDENRAIN ST, SANDY, OR 97055-6361
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9881
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9881
STATE PHARMACIST LICENSE
OR
Enumeration date
02/12/2012
Last updated
02/12/2012
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