Individual
MR. PAT A TINNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1575 NE 3RD ST, RITE AID #5393, PRINEVILLE, OR 97754-2907
(541) 447-2470
Mailing address
PO BOX 35, CULVER, OR 97734-0035
(541) 546-7308
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0010716
OR
183500000X
Pharmacist
13173
NV
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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