Individual
GEORGE POOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1455 EDGEWATER ST NW, SALEM, OR 97304-4633
(503) 365-2174
Mailing address
1455 EDGEWATER ST NW, SALEM, OR 97304-4633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0010952
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0010952
OR
Other
Enumeration date
03/29/2011
Last updated
01/05/2016
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