Individual
JUSTIN COXEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3380 LANCASTER DR NE, SALEM, OR 97305-1354
(503) 391-6482
(503) 391-6484
Mailing address
3380 LANCASTER DR NE, SALEM, OR 97305-1354
(503) 391-6482
(503) 391-6484
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8869
OR
Other
Enumeration date
12/24/2010
Last updated
12/24/2010
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