Individual
KALIKA FAITH BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY TECH
Contact information
Practice address
2080 NW 9TH ST, CORVALLIS, OR 97330-1484
(541) 753-2226
(541) 753-2559
Mailing address
2080 NW 9TH ST, CORVALLIS, OR 97330-1484
(541) 753-2226
(541) 753-2559
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0013288
OR
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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