Individual
KIFAIA HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5807 MAIN ST, SPRINGFIELD, OR 97478-6961
(541) 726-8423
Mailing address
5807 MAIN ST, SPRINGFIELD, OR 97478-6961
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0015837
OR
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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