Individual
MARICON ESMABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4575 W 11TH AVE, EUGENE, OR 97402-5442
(541) 684-4589
Mailing address
815 BROOKSIDE DR, EUGENE, OR 97405-4936
(650) 868-8120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0015774
OR
Other
Enumeration date
01/21/2017
Last updated
01/21/2017
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