Individual
IFEYINWA IRENE NWEREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 82ND DR, GLADSTONE, OR 97027-2522
(503) 723-2686
Mailing address
95 82ND DR, GLADSTONE, OR 97027-2522
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011937
OR
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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