Individual
TARI ELLEN SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
315 S MAIN ST, CANYONVILLE, OR 97417-9645
(215) 460-9198
Mailing address
650 IRVING DR, MYRTLE CREEK, OR 97457-7405
(215) 460-9198
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH0015301
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH0015301
OR
Other
Enumeration date
08/15/2017
Last updated
09/19/2023
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