Individual
MISS LAURA GRAHAM LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
111 UNION AVE, GRANTS PASS, OR 97527-5579
(541) 471-4873
(541) 471-8721
Mailing address
111 UNION AVE, GRANTS PASS, OR 97527-5579
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0011680
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0011680
18-PHARMACY SERVICE PROVIDER
OR
Enumeration date
09/20/2009
Last updated
09/20/2009
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