Individual
KAYTI ROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 S COAST HWY, NEWPORT, OR 97365-3831
(541) 574-4405
Mailing address
27 S COAST HWY, NEWPORT, OR 97365-3831
(541) 574-4405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03135926
OH
183500000X
Pharmacist
Primary
RPH-0015695
OR
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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