Individual
MR. DARREN PREUNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 NW 11TH ST, HERMISTON, OR 97838-6601
(541) 667-3652
Mailing address
610 NW 11TH ST, HERMISTON, OR 97838-6601
(541) 667-3652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0008886
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0008886
LICENSE NUMBER
OR
Enumeration date
01/21/2010
Last updated
01/21/2010
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