Individual
KAYLIN ELIZABETH ELMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 SW CENTURY DR, BEND, OR 97702-3037
(541) 389-7184
Mailing address
2580 NE BRANDON CT, BEND, OR 97701-5870
(541) 610-5680
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0016747
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0016747
OR
Other
Enumeration date
08/15/2018
Last updated
01/22/2019
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