Individual
THOMAS MASLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 4TH ST, LA GRANDE, OR 97850-1906
(541) 663-3165
Mailing address
1776 SW KEPLEY CIR, PENDLETON, OR 97801-9442
(818) 631-2966
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
RPH-0017362
OR
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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