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Individual

MONA KEIVANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2600 CENTER ST NE, SALEM, OR 97301-2682
(503) 945-2945
Mailing address
1335 ORCHARD HEIGHTS RD NW APT 3065, SALEM, OR 97304-2576
(818) 455-6170

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018060
OR

Other

Enumeration date
09/13/2020
Last updated
09/13/2020
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