Individual
ELAINE ENWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 W 6TH ST, THE DALLES, OR 97058-4144
(541) 298-2055
(541) 298-2060
Mailing address
3300 W 6TH ST, THE DALLES, OR 97058-4144
(541) 298-2055
(541) 298-2060
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH-00011866
WA
183500000X
Pharmacist
Primary
RPH-0014492
OR
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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