Individual
CAROLYN SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
910 NW KINGS BLVD, CORVALLIS, OR 97330-2597
(541) 752-7779
Mailing address
910 NW KINGS BLVD, CORVALLIS, OR 97330-2597
(541) 752-7779
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH00015910
WA
183500000X
Pharmacist
RPH0008349
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH0008349
OR
Other
Enumeration date
01/23/2019
Last updated
02/09/2021
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