Individual
NOEUL SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 ROW RIVER RD, COTTAGE GROVE, OR 97424-9558
(541) 942-0940
Mailing address
901 ROW RIVER RD, COTTAGE GROVE, OR 97424-4802
(541) 942-0940
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0014518
OR
Other
Enumeration date
06/24/2014
Last updated
07/21/2022
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