Individual
ELIZABETH KORNEGAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1455 NE DIVISION ST, GRESHAM, OR 97030-4270
(503) 492-7279
Mailing address
1455 NE DIVISION ST, GRESHAM, OR 97030-4270
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8656
OR
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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