Individual
LANITA FALANI TAUNISILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACY INTERN
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
(541) 766-6186
Mailing address
3405 NW ORCHARD AVE APT 101, CORVALLIS, OR 97330-5080
(541) 829-2383
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PI0011496
OR
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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