Individual
SHEENA ANN GULBRANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
550 S 4TH ST, COOS BAY, OR 97420-1506
(541) 269-9890
(866) 273-0149
Mailing address
550 S 4TH ST, COOS BAY, OR 97420-1506
(541) 269-9890
(866) 273-0149
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11416
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11416
STATE PHARMACIST LICENSE
OR
Enumeration date
10/01/2012
Last updated
10/01/2012
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