Individual
ALISHA FRANCINE BULTHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97471-1281
(541) 673-0611
Mailing address
1495 ECHO DR, ROSEBURG, OR 97470-9462
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016100
AZ
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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