Individual
MR. JOHN R. DE LUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.PHARM
Contact information
Practice address
2026 SW VERMONT ST, PORTLAND, OR 97219-9412
(503) 892-6573
Mailing address
8145 SW BARBUR BLVD, PORTLAND, OR 97219-2849
(503) 892-4975
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6946
OR
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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