Individual
MS. INDRADEVI SWAMINATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
514 NE 181ST AVE, RITE AID, STORE # 5357 ,, PORTLAND, OR 97230-6702
(503) 661-6991
Mailing address
514 NE 181ST AVE, RITE AID, STORE # 5357 ,, PORTLAND, OR 97230-6702
(503) 661-6991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0012732
OR
Other
Enumeration date
12/02/2011
Last updated
01/10/2013
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