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Individual

ANDREW T MOHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
445 W HWY 20, SISTERS, OR 97759
(541) 719-2003
Mailing address
PO BOX 2342, 445 W. HWY 20, SISTERS, OR 97759
(541) 719-2003

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7390
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7390
STATE PHARMACIST LICENSE
OR
Enumeration date
02/22/2012
Last updated
02/24/2012
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