Individual
ROBERT BROWNE COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1123 ADAMS AVE, LA GRANDE, OR 97850-2692
(541) 963-5741
Mailing address
1123 ADAMS AVE, LA GRANDE, OR 97850-2692
(541) 963-5741
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5849
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283713
—
OR
Enumeration date
09/05/2008
Last updated
09/05/2008
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