Individual
MS. SUSAN CORREA MUKATIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3517 NW SAMARITAN DR, SUITE 201, CORVALLIS, OR 97330-3767
(541) 768-5185
(541) 768-6585
Mailing address
2851 NW MONTEREY PL, CORVALLIS, OR 97330-3435
(541) 758-2658
(541) 768-6585
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7699
OR
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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