Individual
GREGORY MARK FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
750 BROWNING AVE SE, SALEM, OR 97302-3806
(503) 581-3419
Mailing address
4563 20TH CT S, SALEM, OR 97302-2214
(503) 581-3419
(503) 581-1134
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0007871
OR
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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