Individual
JONAS AMOAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 W HARRISON ST, ROSEBURG, OR 97471-2991
(571) 426-4898
Mailing address
640 W HARRISON ST, ROSEBURG, OR 97471-2991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0019275
OR
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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