Individual
MR. DALE LEE BRABHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1560 COBURG RD, EUGENE, OR 97401-4802
(541) 484-2681
Mailing address
1560 COBURG RD, EUGENE, OR 97401-4802
(541) 484-2681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6253
OR
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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