Individual
KRISTINA MIRONICHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2425 SE TV HWY, HILLSBORO, OR 97123-7977
(503) 693-1009
Mailing address
2425 SE TV HWY, HILLSBORO, OR 97123-7977
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0013659
OR
Other
Enumeration date
09/14/2013
Last updated
09/14/2013
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