Individual
GEOFFREY PITLUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
699 WALLACE RD NW, SALEM, OR 97304-3834
(503) 428-5073
Mailing address
699 WALLACE RD NW, SALEM, OR 97304-3834
(503) 428-5073
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26020298A
IN
183500000X
Pharmacist
Primary
RPH-10193
OR
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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