Individual
DR. MITCHELL LEE LIENEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(541) 472-7000
Mailing address
332 EVERETT WAY, TALENT, OR 97540-9431
(805) 710-3403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0017048
OR
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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