Individual
MR. JACK CRAIG PREBILSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5660 COMMERCIAL ST SE, SALEM, OR 97306-1215
(503) 364-1520
(503) 391-9302
Mailing address
5660 COMMERCIAL ST SE, SALEM, OR 97306-1215
(503) 364-1520
(503) 391-9302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0006490
OR
Other
Enumeration date
10/30/2010
Last updated
10/30/2010
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