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Individual

MR. MARK ALLAN PLACEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
4380 COMMERCIAL ST SE, SALEM, OR 97302-3914
(503) 399-8148
Mailing address
4380 COMMERCIAL ST SE, SALEM, OR 97302-3914
(503) 399-8148

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8802
OR
183500000X
Pharmacist
9750
NE

Other

Enumeration date
09/08/2009
Last updated
09/08/2009
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