Individual
ANNETTE SANTOS VIFQUAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
658 SE 66TH AVE, HILLSBORO, OR 97123-7610
(713) 859-4644
Mailing address
658 SE 66TH AVE, HILLSBORO, OR 97123-7610
(713) 859-4644
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0012459
OR
1835P2201X
Ambulatory Care Pharmacist
0012459
OR
Other
Enumeration date
08/21/2010
Last updated
08/05/2021
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