Individual
ALICIA DORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1690 SW ALLEN CREEK RD, GRANTS PASS, OR 97527-5559
(541) 471-9043
Mailing address
156 3RD ST APT 2, ASHLAND, OR 97520-1967
(503) 866-2024
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018573
OR
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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