Individual
SEAN WILLIAM-MARK RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4740 ROYAL AVE, EUGENE, OR 97402-1755
(541) 688-6569
Mailing address
4740 ROYAL AVE, EUGENE, OR 97402-1755
(541) 688-6569
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016780
OR
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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