Individual
SHANNON CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
1840 NW 9TH ST, CORVALLIS, OR 97330-2143
(541) 224-0039
(541) 224-0040
Mailing address
1840 NW 9TH ST, CORVALLIS, OR 97330-2143
(541) 224-0039
(541) 224-0040
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12245
OR
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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