Individual
ALEXIS PROTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(541) 440-1000
(541) 440-1000
Mailing address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(541) 440-1000
(541) 440-1000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0019132
OR
183700000X
Pharmacy Technician
T-0021549
OR
Other
Enumeration date
04/03/2017
Last updated
11/14/2022
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