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Individual

SHERYL BLODGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
9775 SW GEMINI DR, SUITE 1, BEAVERTON, OR 97008-7148
(866) 202-4014
(866) 877-2370
Mailing address
9775 SW GEMINI DR, SUITE 1, BEAVERTON, OR 97008-7148
(866) 202-4014
(866) 877-2370

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10500
OR
183500000X
Pharmacist
10532
NV
183500000X
Pharmacist
33325
TN
183500000X
Pharmacist
43465
CA

Other

Enumeration date
04/29/2014
Last updated
04/29/2014
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