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Individual

MRS. KATRINA LAWRENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1525 W MAIN ST, MOLALLA, OR 97038-7362
(503) 829-4855
(503) 829-3486
Mailing address
32178 S BURKERT RD, WOODBURN, OR 97071-8720
(503) 634-2812
(503) 634-5008

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6812
OR

Other

Enumeration date
11/01/2010
Last updated
11/01/2010
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