Individual
MRS. SUZANNE ELIZABETH PENCE OLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 883-6263
(541) 883-6216
Mailing address
636 N ELDORADO AVE, KLAMATH FALLS, OR 97601-2228
(541) 231-3773
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10628
OR
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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